Republicans in Congress are soundly rejecting President Obama’s calls this week to concede defeat in their years-long fight against the Affordable Care Act.

In a lengthy speech on Thursday, Obama urged GOP leaders to “stop pretending” they have an alternative to the law and get to work with the next president to approve some much-needed fixes.

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But Republicans are making clear that they remain opposed and will not accept changes in the next Congress.

Sen. Thom Tillis Thomas (Thom) Roland TillisThe Hill's Campaign Report: GOP set to ask SCOTUS to limit mail-in voting OVERNIGHT ENERGY: EPA head questions connection of climate change to natural disasters | Pebble Mine executives eye future expansion in recorded conversations | EPA questions science linking widely used pesticide to brain damage in children Liberal super PAC launches ads targeting vulnerable GOP senators over SCOTUS fight MORE (R-N.C.), whose home state is struggling with ObamaCare this year, used the GOP’s weekly address on Saturday to criticize Obama for being “in denial” about the law’s failures.

“Rather than admit Obamacare isn’t working, the president painted a rosy picture that doesn’t match the reality experienced by millions of Americans,” Tillis said in the address.

“Unfortunately, instead of working across the aisle to fix this mess, President Obama and congressional Democrats are in denial. In fact, they’re doubling-down on their support for this failed law,” he said.

Tillis argued that the effects of ObamaCare are particularly strong in his state.

North Carolina, where Republican Sen. Richard Burr Richard Mauze BurrRep. Mark Walker says he's been contacted about Liberty University vacancy Overnight Defense: Trump rejects major cut to military health care | Senate report says Trump campaign's Russia contacts posed 'grave' threat Senate report describes closer ties between 2016 Trump campaign, Russia MORE is locked in a heated reelection battle this fall, is among about a dozen battleground states facing struggles with the ObamaCare marketplace.

About 90 percent of all counties in North Carolina will have a single insurer to choose from next year, compared to about one-quarter of counties last year, according to a study by the nonpartisan Kaiser Family Foundation.

Blue Cross Blue Shield of North Carolina is now the only insurer in nearly every county.

“To make matters worse,” Tillis added, “those same North Carolina families will also be hit with a nearly 25 percent premium increase hike next year.”

Obama has staunchly defended the law, arguing that it has expanded coverage to nearly 20 million people.

With double-digit premium hikes this year and high-profile insurer exits, many Democrats have been increasingly willing to address the law’s shortcomings.

Top Democrats, including presidential nominee Hillary Clinton Hillary Diane Rodham ClintonButtigieg stands in as Pence for Harris's debate practice Senate GOP sees early Supreme Court vote as political booster shot Poll: 51 percent of voters want to abolish the electoral college MORE, have called for boosting the subsidies, cracking down on the penalty for people without insurance and creating a “public option."

But Republicans, who are likely to hold onto control of the House next year, already say they’ll refuse those changes.

“They want to increase the subsidies, they want to make the penalty more onerous and they want the public option,” Rep. Michael Burgess Michael Clifton BurgessIgnore the misinformation: The FDA will ensure the safety of any COVID-19 vaccine House goes postal for one day GOP lawmaker calls asymptomatic testing crucial after CDC revises guidance MORE (R-Texas) said in an interview Friday. “None of those things would move the needle one bit.”

Next month’s election is considered crucial for the fate of the president’s landmark law.

If Trump is elected, much of it could be repealed within the first year.

If Clinton is elected, the Affordable Care Act will have been law for more than a decade by the end of her term – making it even tougher to repeal.

For now, Republicans are sticking to talking about repeal.

“At this point, one thing is clear: This law can't be fixed,” House Speaker Paul Ryan Paul Davis RyanKenosha will be a good bellwether in 2020 At indoor rally, Pence says election runs through Wisconsin Juan Williams: Breaking down the debates MORE (R-Wis.) said after Obama's speech Thursday.