President Obama’s standing with Americans has slumped significantly, as the public remains skeptical about his health care law and unsure about the economy, according to the latest New York Times/CBS News poll.

Forty-nine percent of the public disapproves of Mr. Obama’s job performance, and 43 percent approves, matching his worst measures in two years, the poll shows. Only 30 percent of Americans believe he cares “a lot” about their needs and problems, a figure that has fallen steadily from early in his first term.