The Gallup numbers are very close but once again, the public has expressed opposition to the passage of national health insurance.

And Obama's approval rating on the health care issue is tanking as well:

Americans currently tilt against Congress' passing healthcare legislation, with 49% saying they would advise their member to vote against a bill (or they lean that way) and 44% saying they would advocate a vote in favor of the bill (or lean toward advising a yes vote).

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These results are based on a Nov. 20-22 USA Today/Gallup poll, and are essentially unchanged from a poll conducted earlier this month. Within the last month, the House has passed a version of healthcare legislation, and the Senate voted on Nov. 21 to allow debate on its healthcare bill. That debate is scheduled to begin Monday.

Since Gallup began tracking Americans' preferences for healthcare legislation earlier this year, there has never been a strong public mandate in favor of passing a law this year. The high point in support was 51% in early October. But since that time, opinion has shifted from a slightly positive position to a slightly negative one.

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The poll also finds 40% of Americans approving of President Obama's handling of healthcare policy, while 53% disapprove. This is slightly more negative than what Gallup found from July through September, and represents his worst review to date on this issue.

Not surprisingly, 76% of Democrats support it while 89% of Republicans oppose. It's the independents Obama should be worrying about; their number is growing and they oppose passage by 53-37%

It's been a truism since the debate started; the more people know about the details of this bill, the less they support it.