president barack obama monday urge congress reconsider offer government-run health insurance option alongside private plan exchange create part national healthcare law article publish online edition journal american medical association obama say affordable care act make much progress toward improve access healthcare quality affordability care many republicans fiercely oppose law say raise health coverage cost americans try repeatedly repeal congress obama say several challenge remain base experience aca think congress revisit public plan compete alongside private insurers areas country competition limit president write public program like medicare often deliver care cost effectively curtail administrative overhead secure good price providers obama say republicans democrats oppose inclusion government-run plan similar medicare original obamacare law so-called public option make final legislation since aca become law uninsured rate decline 9.1 percent 2015 16 percent 2010. enrollees live counties least three policy issuers help keep cost obama say however 12 percent enrol plan exchange live areas one two issuers add public plan areas would give consumers affordable options say obama also call congress increase financial assistance purchase coverage say would help middle class families still struggle premiums obama say spend prescription drug rise 12 percent 2014 remain problem urge congress act proposal increase transparency around manufacturers production development cost say federal government give authority negotiate price certain high-priced drug last month republicans u.s. house representatives unveil plan overhaul nation healthcare system would keep obamacare popular provision include protections people pre-existing condition allow young adults stay parent coverage age 26. proposal formal legislation part broad effort house speaker paul ryan offer republican agenda ahead nov. elections obama renew call u.s. public health insurance option