Senate Republicans Back President's Proposal to Replace Affordable Care Act
American senators are working through the weekend for the first time since the federal closure began more than a month ago, but hopes for a bipartisan agreement on how to end the impasse appeared to recede as GOP senators proposed a proposal unacceptable to Democrats: scrapping the Affordable Care Act, called Obamacare.
Growing Consequences of Federal Closure
The effect on Americans from the longest shutdown of the US government in history worsened on Saturday, as government employees went unpaid, airlines were forced to cancel flights and Supplemental Nutrition Assistance Program benefits have been delayed for 42 million Americans.
Trump's Proposal from Golf Course
As weekend session got started, GOP senators welcomed a suggestion made on social media early Saturday by Donald Trump from his golf course in West Palm Beach, for government payments to be substituted by HSA-style accounts.
"I am recommending to Senate Republicans that the Billions of Dollars currently being sent to money sucking Insurance Companies in order to save the ineffective Healthcare provided by ObamaCare, BE SENT DIRECTLY TO THE PEOPLE SO THAT THEY CAN PURCHASE THEIR OWN, MUCH BETTER, HEALTHCARE," Trump wrote.
GOP Endorsement
Multiple Republican senators praised the plan, which is similar to a replacement for Obamacare proposed in 2017.
"We will replace this failing program with something that is actually better for the patient," one senator stated.
Another senator praised Trump's suggestion on social media, and stood next to a large print of Trump's post as he addressed on the Senate floor.
"I am drafting the bill right now," a third senator wrote in reply to Trump's suggestion. "We must stop taxpayer money from going to carriers and instead give it directly to Americans in HSA-style accounts and let them buy the medical coverage they want."
Opposition Reaction
Opposition lawmakers shared alarmed reactions to Trump's proposal.
"Essentially, Donald Trump's 'concept of a plan' for health care is yet another cynical attempt to repeal Obamacare," one Democratic senator commented. "This is the same unsuccessful Republican plan that's been defeated by the public and Congress."
Another senator responded to the criticism of carriers by writing: "Oh, Trump and the Republicans can't stand how the big, bad insurance companies are ripping-off Americans. Seriously? Then I welcome your support for Medicare for All."
Continuing Talks
The Senate adjourned without reaching a resolution, but Senate Republican leaders have signaled an openness to an developing plan from a small group of moderate Democrats to terminate the closure in exchange for a future vote on the Obamacare payments.
One Democratic senator, who is spearheading the talks among moderates, said that Democrats "require another way ahead" after Republicans turned down an proposal to reopen the government and extend the subsidies for a year.
Another senior Democratic senator persisted in maintaining that Republicans should agree to a 12-month continuation of the subsidies before discussing the future of the tax credits.
"Doing nothing is derelict because citizens will go into debt, people will lose insurance, people will get more ill," the senator stated in a Senate address. "That's what will happen if this Congress does nothing."
Partisan Dynamics
Not one of the Republican senators seemed to grapple with the fact that patients would still need to buy plans from the same carriers, or that Republican legislators need the support of eight Democrats to restart the government, and the idea of eliminating and substituting Obamacare with HSAs is improbable to earn a solitary Democratic vote.
Several observers indicated that the essence of such a plan would eliminate the ACA's mandate that insurance companies cover patients with pre-existing conditions.
After his golf outing, Trump returned to his private club and doubled down on his demand that Republicans stop seeking compromise and try instead to eliminate and replace Obamacare with a version of the plan that was unsuccessful to secure enough support in 2017.