Senate Republicans Back Trump's Proposal to Replace 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 hopes for a cross-party deal on how to end the standoff appeared to recede as Republican senators proposed a plan toxic to Democrats: scrapping the ACA, known as Obamacare.
Deepening Consequences of Government Shutdown
The effect on Americans from the lengthiest closure of the federal government in history worsened on Saturday, as government employees went without pay, carriers were compelled to ground planes and Supplemental Nutrition Assistance Program benefits have been postponed for 42 million Americans.
President's Proposal from Golf Course
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 substituted by health savings 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.
GOP Endorsement
Several Republican senators praised the proposal, which is similar to a alternative for Obamacare put forward in 2017.
"We will replace this broken system with something that is actually better for the consumer," one senator stated.
Another senator praised Trump's proposal on social media, and stood next to a large print of Trump's post as he addressed on the Senate floor.
"I'm writing 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 HSA-style accounts and let them buy the health care they want."
Democratic Reaction
Democratic lawmakers expressed alarmed responses to Trump's plan.
"In other words, Donald Trump's 'proposal' for health care is another calculated 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 lawmaker reacted to the criticism of insurance companies by writing: "Oh, Trump and the Republicans can't stand how the big, bad insurance companies are ripping-off Americans. Seriously? Then I applaud your support for Medicare for All."
Ongoing Negotiations
The Senate went into recess without reaching a resolution, but Senate Republican leaders have signaled an willingness to an developing plan from a small group of moderate Democrats to terminate the shutdown in exchange for a later vote on the Obamacare subsidies.
One Democratic senator, who is leading the talks among centrists, said that Democrats "require another path forward" after Republicans turned down an proposal to reopen the government and extend the payments for a year.
Another senior Democratic senator persisted in arguing that Republicans should agree to a one-year extension of the subsidies before negotiating the future 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 Senate address. "That is what will happen if this Congress fails to act."
Partisan Dynamics
Not one of the Republican senators seemed to address the fact that patients would still need to buy coverage from the same insurance companies, or that Republican legislators need the backing of several Democrats to reopen the government, and the idea of eliminating and replacing Obamacare with HSAs is unlikely to earn a solitary Democratic vote.
Several observers suggested that the core of such a plan would remove the ACA's mandate that carriers cover individuals with existing health issues.
After his golf outing, Trump went back to his private club and reiterated on his demand that Republicans stop seeking compromise and try instead to repeal and replace Obamacare with a iteration of the proposal that was unsuccessful to garner enough support in 2017.