Health care is now the issue at the top of Americans minds, a new HuffPost/YouGov survey finds.

Forty-five percent of those polled name health care as among the two issues most important to them, with 39 percent naming the economy, the survey finds. Immigration, at 25 percent, takes a relatively distant third.

The results mark a dramatic and unusual shift that comes in tandem with the unpopular rollout of Republicans new health care bill and an upswing in popularity for the Affordable Care Act , or Obamacare. While economic anxiety has ebbed in the aftermath of the recession, the economy has remained the nations near-perennial top issue , with the 2016 campaign no exception. Last November, Americans were 14 points likelier to name the economy than health care as one of their top election concerns.

Concern about health care is especially pronounced among voters who supported Democratic presidential candidate Hillary Clinton , a bloc that has also come out in fierce and nearly universal opposition to the GOP repeal efforts. The majority, 57 percent, call health care one of their top two priorities, with just 31 percent naming the economy. President Donald Trump s voters, whose support for the Republican bill is relatively tepid, evince less concern about health care overall, with more naming the economy and immigration as top issues.