Congressional Republicans Embrace Trump's Proposal to Overhaul Affordable Care Act
American senators are working through the weekend for the first time since the government shutdown began more than a month ago, but expectations for a cross-party deal on how to resolve the impasse appeared to recede as Republican senators proposed a proposal toxic to Democrats: scrapping the ACA, known as Obamacare.
Growing Impact of Government Shutdown
The effect on US citizens from the lengthiest shutdown of the federal government in history deepened on Saturday, as government employees went without pay, airlines were forced to cancel flights and Supplemental Nutrition Assistance Program benefits have been delayed for 42 million Americans.
Trump's Plan from Golf Course
As Saturday's session got under way, Republican senators embraced a proposal made on online platforms early Saturday by Donald Trump from his resort in West Palm Beach, for subsidies to be replaced by health savings accounts.
"My recommendation is to Senate Republicans that the Billions of Dollars currently being sent to profit-driven 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 posted.
Republican Endorsement
Multiple Republican senators welcomed the plan, which is similar to a replacement for Obamacare proposed in 2017.
"We will replace this failing program with something that is truly 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 spoke on the Senate floor.
"I am drafting the bill right now," a third senator posted in reply to Trump's proposal. "We need to stop public funds from going to carriers and instead give it straight to Americans in health savings accounts and let them buy the health care they want."
Opposition Reaction
Democratic senators shared concerned responses to Trump's proposal.
"In other words, Donald Trump's 'concept of a plan' for health care is another calculated attempt to repeal Obamacare," one Democratic senator commented. "This is the same failed Republican plan that's been rejected by the public and Congress."
Another senator responded to the censure of carriers by writing: "Oh, Trump and the Republicans can't stand how the big, bad insurance companies are ripping-off Americans. Really? Then I welcome your support for universal healthcare."
Continuing Negotiations
The Senate adjourned without finding a resolution, but Senate Republican leaders have indicated an willingness to an emerging proposal from a handful of moderate Democrats to terminate the closure in return for a later vote on the ACA payments.
One Democratic senator, who is spearheading the negotiations among moderates, said that Democrats "require another path forward" after Republicans rejected an offer to restart the government and continue the subsidies for a year.
Another senior Democratic lawmaker continued in maintaining that Republicans should agree to a one-year extension of the subsidies before negotiating the future of the subsidies.
"Inaction is derelict because citizens will go bankrupt, people will lose insurance, people will get sicker," the senator stated in a floor speech. "That's what will happen if this Congress does nothing."
Political 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 lawmakers need the backing of eight Democrats to reopen the government, and the idea of eliminating and substituting Obamacare with HSAs is unlikely to earn a solitary Democratic vote.
Some observers indicated that the core of such a plan would remove the ACA's mandate that carriers cover individuals with pre-existing conditions.
After his resort visit, Trump went back to his residence and doubled down on his insistence that Republicans stop seeking compromise and try instead to eliminate and overhaul Obamacare with a iteration of the plan that failed to secure enough support in 2017.