Perhaps I am just sensitive to being fairly liberal in a pretty conservative area. The vast majority (read: all, until now apparently) of the times I hear the term, it's definitely used negatively. I understand the formal name is a bit cumbersome, but it's accurate and a lot less ambiguous. Of those I know who don't use 'Obamacare' or the actual name, using the simple healthcare reform act seems to work well.

My apologies for turning this into a political argument. My intention was to try to check some perceived bias. Looks like I over-corrected.