miami president barack obama say thursday departure office january might take begin heal political scar obamacare allow need fix signature healthcare law 2010 affordable care act tip long bitter political legal battle white house republicans u.s. congress say 2010 law create unwarranted government intervention personal healthcare private industry republicans quick highlight recent barrage negative headline rise health insurance premiums shrink doctor network people participate subsidize insurance plan offer law obama acknowledge law work perfectly say problems could fix legislation encourage lawmakers create government-run health insurance option help u.s. state little competition among private insurers maybe leave office maybe republicans stop 60-something repeal vote take stop pretend serious alternative ... work next president smooth kink say speech miami dade college even change name law reagancare paul ryan care obama say evoke name republican speaker house representatives care want work ryan write response say would continue seek repeal replace law point one thing clear law fix ryan say obama late slat headline rally florida battleground election state hillary clinton democratic candidate nov. presidential election clinton say would add public option expand tax incentives healthcare cost republican nominee donald trump pledge repeal replace law government forecast 13.8 million people sign obamacare plan 2017 1.1 million 2016 10.7 million uninsured people eligible exchange enrol 40 percent young health human service secretary sylvia burwell say wednesday obama say nationwide enough young healthy people sign provide revenue stream offset cost cover members serious illnesses result several big insurers include unitedhealth group inc unh.n aetna inc aet.n humana inc hum.n pull online marketplaces sell subsidize plan cite bigger-than-expected financial losses monthly premium price climb discourage people sign next year tell whether grow pain serious issue draw altman chief executive kaiser family foundation say interview analysis conduct nonpartisan foundation suggest least 16 million people need enroll online obamacare insurance marketplaces stabilize obama say expand insurance coverage millions people reform healthcare system key reason run office say get letter americans every day thank difference make live law cut number uninsured americans 49 million 2010 29 million 2015. much decline due law provision allow state expand medicaid health coverage poor law also prohibit insurance company deny coverage americans exist medical problems allow parent keep children insure health plan age 26. health policy experts political leave right say congress may receptive bipartisan efforts fix affordable care act obama leave office republican governors refuse expand medicaid may also will election change would expand coverage million people think piece obamacare people like obama kathleen sebelius obama former health human service secretary oversee program launch say interview become personal battle president think really unfortunate obama say departure may fix ail obamacare