Senate GOP Embrace President's Proposal to Overhaul Affordable Care Act
US senators are working through the weekend for the initial time since the federal closure began more than a month ago, but expectations for a cross-party deal on how to end the impasse appeared to recede as Republican senators proposed a proposal unacceptable to Democrats: eliminating the Affordable Care Act, known as Obamacare.
Growing Impact of Federal Closure
The impact on Americans from the lengthiest shutdown of the US government in history deepened on Saturday, as federal workers went without pay, airlines were compelled to cancel flights and Supplemental Nutrition Assistance Program benefits have been delayed for forty-two million Americans.
President's Plan 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 government payments to be substituted 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 ineffective 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 praised the proposal, which is comparable with a alternative for Obamacare put forward in 2017.
"We will replace this broken system with something that is truly better for the patient," one senator stated.
Another senator praised Trump's proposal on online platforms, and stood next to 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 response to Trump's proposal. "We need to stop public funds 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
Democratic lawmakers shared concerned responses to Trump's plan.
"Essentially, Donald Trump's 'concept of a plan' for health care is yet another cynical attempt to repeal Obamacare," one Democratic senator stated. "It's the same unsuccessful Republican plan that's been rejected by the public and Congress."
Another senator responded to the censure of carriers by writing: "Well, Trump and the Republicans can't stand how the big, bad insurance companies are overcharging Americans. Seriously? In that case I applaud your support for Medicare for All."
Continuing Negotiations
The Senate went into recess without reaching a resolution, but Senate Republican leaders have signaled an openness to an developing proposal from a small group of centrist lawmakers to end the shutdown in return for a future vote on the ACA payments.
One Democratic senator, who is leading the negotiations among centrists, said that Democrats "need another way ahead" after Republicans rejected an offer to reopen the government and continue the payments for a year.
Another leading Democratic senator persisted in arguing that Republicans should agree to a 12-month continuation of the payments before discussing the long-term 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 is what will happen if this Congress fails to act."
Political Dynamics
Not one of the Republican senators seemed to address the fact that consumers would still need to buy plans from the same carriers, or that Republican legislators need the support of several Democrats to restart the government, and the concept of eliminating and substituting Obamacare with savings accounts is improbable to earn a single Democratic vote.
Several analysts indicated that the core of such a plan would remove the ACA's requirement that carriers cover individuals with pre-existing conditions.
After his golf outing, Trump went back to his residence and doubled down on his insistence that Republicans stop seeking agreement and try instead to eliminate and replace Obamacare with a version of the plan that was unsuccessful to secure enough support in 2017.