Senate Republicans Embrace President's Call to Replace Affordable Care Act
US lawmakers are working through the weekend for the initial time since the government shutdown began over a month ago, but expectations for a cross-party deal on how to resolve the standoff appeared to recede as GOP senators proposed a plan unacceptable to Democrats: eliminating the Affordable Care Act, called Obamacare.
Growing Consequences of Government Shutdown
The impact on US citizens from the longest closure of the federal government in history deepened on Saturday, as government employees went without pay, airlines were compelled to cancel flights and SNAP benefits have been delayed for 42 million Americans.
Trump's Plan from Florida Resort
As Saturday's session got under way, GOP senators embraced a suggestion made on social media early Saturday by Donald Trump from his golf course in West Palm Beach, for subsidies to be substituted by HSA-style accounts.
"I am recommending to Senate Republicans that the Hundreds of Billions of Dollars currently being sent to money sucking Insurance Companies in order to save the bad Healthcare provided by ObamaCare, BE SENT DIRECTLY TO THE PEOPLE SO THAT THEY CAN PURCHASE THEIR OWN, MUCH BETTER, HEALTHCARE," Trump wrote.
Republican Endorsement
Several Republican senators welcomed the plan, which is similar to a alternative for Obamacare proposed in 2017.
"We will replace this broken system with something that is actually better for the patient," one senator said.
Another senator praised Trump's proposal on online platforms, and displayed a giant blow-up of Trump's post as he addressed on the Senate floor.
"I'm writing the bill right now," a third senator posted in response to Trump's suggestion. "We must stop taxpayer money from going to insurance companies and instead give it directly to Americans in health savings accounts and let them buy the medical coverage they want."
Opposition Response
Democratic lawmakers expressed alarmed responses to Trump's plan.
"In other words, Donald Trump's 'proposal' for health care is another calculated attempt to repeal Obamacare," one Democratic senator commented. "It's the same unsuccessful Republican plan that's been rejected by voters and Congress."
Another lawmaker reacted to the criticism of insurance companies by writing: "Well, Trump and the Republicans dislike how the large insurance companies are overcharging Americans. Really? In that case I applaud your support for Medicare for All."
Continuing Negotiations
The Senate adjourned without reaching a resolution, but Senate Republican leaders have indicated an willingness to an developing proposal from a handful of centrist lawmakers to terminate the shutdown in exchange for a later vote on the Obamacare subsidies.
One Democratic senator, who is leading the negotiations among centrists, said that Democrats "need another path forward" after Republicans rejected an proposal to reopen the government and extend the payments for a year.
Another senior Democratic lawmaker continued in arguing that Republicans should accept a one-year extension of the payments before negotiating the long-term of the subsidies.
"Inaction is derelict because citizens will go bankrupt, people will become uninsured, people will get sicker," the senator said in a Senate address. "That is what will happen if this Congress fails to act."
Political Dynamics
None of the Republican senators seemed to address the fact that patients would still need to buy coverage from the same carriers, or that Republican legislators need the support of eight Democrats to restart the government, and the idea of eliminating and replacing Obamacare with HSAs is improbable to earn a solitary Democratic vote.
Several analysts suggested that the essence of such a plan would eliminate the ACA's mandate that carriers cover individuals with existing health issues.
After his resort visit, Trump went back to his residence and doubled down on his demand that Republicans stop seeking agreement and try instead to repeal and overhaul Obamacare with a iteration of the plan that was unsuccessful to secure enough support in 2017.