WASHINGTON -- In what may be his last stand for health care reform, President Barack Obama has added some Republican ideas to his latest plan for overhauling the system.
In a bold move on Wednesday, the president called on Congress to vote the revised measure up or down.
"Unless everyone has access to affordable coverage you can't prevent insurance companies from denying coverage based on pre-existing conditions," Obama said.
The president's plan costs an estimated $1 trillion over the next decade and he says it will be funded by cuts to Medicare and tax hikes on some Americans.
Despite Obama adding some Republican proposals to his bill, including medical malpractice reform, some GOP leaders say it's too little, too late.
"You can't add a couple of Republican sprinkles on the top of a 2,700 page bill and claim that it is bipartisan," Minority Leader John Boehner, R-Ohio, said.
Democrats are also leery with some saying the bill doesn't go far enough to provide universal health care. Others say it goes too far and is too unpopular ahead of the midterm elections where the Democratic majority is on the line.
"While I support some insurance reforms....there is no chance I am voting for this bill because it raises taxes on businesses, creates job-killing mandates, grows the size of government, and cuts services to seniors," Blue Dog Rep. Dan Boren, D-Okla., said in a press release.
Meanwhile, the president is urging the Senate to pass the bill using reconciliation or a simple majority vote, thus avoiding a Republican filibuster.
According to a new Gallup Poll, such a move is unpopular among voters with 52 percent of those surveyed saying they oppose reconciliation. Thirty-nine percent favor it.
Should Democrats decide to use that option, Republicans warn there will be consequences.
"You ignore the overwhelming desires of the American people at your own peril," Minority Leader Mitch McConnell, R-Ky., said.
Still, the president has continued to stand his ground.
"I don't know how this plays politically, but I know it's right," Obama said.
Meanwhile, the president will begin a public relations tour next week aimed at selling his plan to the American people with stops scheduled for Philadelphia and St. Louis.