Senate GOP Embrace President's Call to Replace Affordable Care Act

American senators are meeting during the weekend for the first time since the government shutdown began more than a month ago, but expectations for a bipartisan agreement on how to end the impasse appeared to recede as GOP senators floated a proposal unacceptable to Democrats: scrapping the Affordable Care Act, called Obamacare.

Deepening Consequences of Federal Closure

The impact on Americans from the longest closure of the US government in history deepened on Saturday, as federal workers went unpaid, carriers were forced to cancel flights and Supplemental Nutrition Assistance Program benefits have been delayed for forty-two million Americans.

President's Proposal from Golf Course

As Saturday's meeting got under way, Republican senators welcomed a proposal made on online platforms early Saturday by Donald Trump from his resort in West Palm Beach, for subsidies to be replaced by HSA-style accounts.

"I am recommending to Senate Republicans that the Billions of Dollars currently being sent to profit-driven 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 posted.

Republican Endorsement

Multiple Republican senators praised the proposal, which is comparable with a alternative for Obamacare proposed in 2017.

"We're going to replace this failing program with something that is truly better for the patient," one senator stated.

Another senator praised Trump's proposal on social media, and displayed a giant blow-up of Trump's post as he addressed on the Senate floor.

"I am drafting the bill right now," a third senator wrote in response to Trump's suggestion. "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 medical coverage they want."

Democratic Reaction

Democratic senators shared concerned responses to Trump's plan.

"In other words, Donald Trump's 'concept of a plan' for health care is another cynical attempt to eliminate 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 criticism of insurance companies by writing: "Oh, Trump and the Republicans dislike how the large insurance companies are ripping-off Americans. Really? Then I welcome your support for universal healthcare."

Continuing Talks

The Senate adjourned without finding a solution, but Senate Republican leaders have signaled an willingness to an emerging proposal from a handful of moderate Democrats to terminate the shutdown in exchange for a later vote on the Obamacare payments.

One Democratic senator, who is leading the negotiations among moderates, said that Democrats "require another path forward" after Republicans rejected an proposal to restart the government and continue the subsidies for a year.

Another senior Democratic lawmaker continued in maintaining that Republicans should accept a 12-month continuation of the payments before discussing the future of the tax credits.

"Doing nothing is irresponsible because people will go into debt, people will become uninsured, people will get sicker," the senator said in a floor speech. "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 coverage from the same insurance companies, or that Republican legislators need the support of eight Democrats to reopen the government, and the idea of eliminating and replacing Obamacare with HSAs is improbable to earn a solitary Democratic vote.

Some observers suggested that the essence of such a proposal would remove the ACA's requirement that insurance companies cover patients with existing health issues.

After his golf outing, Trump returned to his residence and doubled down on his demand that Republicans stop seeking agreement and try instead to repeal and overhaul Obamacare with a version of the plan that failed to secure enough support in 2017.

Timothy Turner
Timothy Turner

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