Senate GOP Embrace Trump's Proposal to Overhaul Affordable Care Act
American lawmakers are working through the weekend for the first time since the government shutdown began more than a month ago, but hopes for a cross-party deal on how to resolve the impasse appeared to diminish as Republican senators floated a plan toxic to Democrats: eliminating the ACA, known as 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 unpaid, carriers were compelled to ground planes and SNAP benefits have been postponed for 42 million Americans.
President's Proposal from Florida Resort
As Saturday's session got under way, Republican senators embraced a proposal made on social media early Saturday by Donald Trump from his golf course 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.
GOP Endorsement
Several Republican senators praised the plan, which is comparable with a replacement for Obamacare proposed in 2017.
"We're going to replace this failing program with something that is actually better for the consumer," one senator stated.
Another senator commended Trump's suggestion on social media, and displayed a large print of Trump's post as he spoke on the Senate floor.
"I'm writing the bill right now," a third senator wrote in reply to Trump's proposal. "We must stop taxpayer money from going to insurance companies and instead give it straight to Americans in HSA-style accounts and let them buy the health care they want."
Opposition Reaction
Democratic senators expressed alarmed responses to Trump's plan.
"Essentially, Donald Trump's 'proposal' for health care is yet another calculated attempt to eliminate Obamacare," one Democratic senator stated. "It's the same failed Republican plan that's been defeated by voters and Congress."
Another senator reacted to the censure of insurance companies by writing: "Oh, Trump and the Republicans dislike how the large insurance companies are overcharging Americans. Seriously? In that case I applaud your support for universal healthcare."
Continuing Talks
The Senate went into recess without reaching a resolution, but Senate Republican leaders have signaled an willingness to an emerging plan from a handful of moderate Democrats to end the closure in exchange for a future vote on the ACA payments.
One Democratic senator, who is leading the negotiations among moderates, said that Democrats "need another path forward" after Republicans rejected an offer to reopen the government and continue the subsidies for a year.
Another senior Democratic senator continued in maintaining that Republicans should accept a one-year extension of the subsidies before discussing the long-term of the tax credits.
"Doing nothing is derelict because people will go bankrupt, people will lose insurance, people will get sicker," the senator said in a floor speech. "That is what will happen if this Congress does nothing."
Partisan Dynamics
None of the Republican senators seemed to grapple with the fact that consumers would still need to buy coverage from the same insurance companies, or that Republican lawmakers need the support of eight Democrats to reopen the government, and the concept of repealing and substituting Obamacare with HSAs is unlikely to earn a solitary Democratic vote.
Several analysts suggested that the core of such a plan would remove the ACA's requirement that carriers cover patients with existing health issues.
After his resort visit, Trump returned to his residence and reiterated on his insistence that Republicans stop seeking compromise and try instead to eliminate and replace Obamacare with a iteration of the plan that was unsuccessful to garner enough support in 2017.