Thirty-two percent of Americans put off medical care due to high health care costs, according to a new Gallup survey released on Thursday, and that number comes nearly three years after the president’s health care reform law was launched.

The 32 percent figure is the highest percentage ever recorded by Gallup, which began tracking the issue annually in 2001. The percent of people reporting that they have forgone medical care due to cost has risen 19 percent since 2001, Gallup reported.

Sixty-eight percent of Americans said they had not put off medical care due to cost, Gallup found.