Senate GOP Embrace Trump's Proposal to Replace Affordable Care Act
US senators are meeting during the weekend for the first time since the federal closure began more than a month ago, but expectations for a bipartisan agreement on how to end the impasse appeared to recede as GOP senators proposed a plan unacceptable to Democrats: scrapping the ACA, known as Obamacare.
Deepening Impact of Federal Closure
The effect on US citizens from the longest shutdown of the federal government in history deepened on Saturday, as federal workers went unpaid, airlines were compelled to cancel flights and SNAP benefits have been postponed for forty-two million Americans.
President's Plan from Golf Course
As Saturday's session got started, Republican senators welcomed a suggestion 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.
"My recommendation is to Senate Republicans that the Hundreds of 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
Several Republican senators praised the plan, which is similar to a replacement 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 commended Trump's proposal on online platforms, and displayed a large print of Trump's post as he addressed on the Senate floor.
"I am drafting the bill right now," a third senator posted in response to Trump's suggestion. "We must stop taxpayer money 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 alarmed reactions to Trump's plan.
"In other words, Donald Trump's 'proposal' for health care is another calculated attempt to eliminate Obamacare," one Democratic senator stated. "It's the same failed Republican plan that's been rejected by voters and Congress."
Another senator reacted to the criticism of carriers by posting: "Well, Trump and the Republicans dislike how the big, bad insurance companies are overcharging Americans. Really? In that case I welcome your support for Medicare for All."
Ongoing Negotiations
The Senate adjourned without reaching a solution, but Senate Republican leaders have signaled an willingness to an emerging proposal from a handful of centrist lawmakers to terminate the shutdown in exchange for a later vote on the Obamacare payments.
One Democratic senator, who is leading the talks among centrists, said that Democrats "need another path forward" after Republicans turned down an offer to reopen the government and continue the subsidies for a year.
Another senior Democratic lawmaker continued in arguing that Republicans should agree to a one-year extension of the payments before discussing the long-term of the tax credits.
"Doing nothing is derelict because people will go bankrupt, people will become uninsured, people will get more ill," the senator stated in a floor speech. "That's what will happen if this Congress does nothing."
Political Dynamics
None 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 backing of several Democrats to restart the government, and the concept of eliminating and substituting Obamacare with savings accounts is unlikely to earn a single Democratic vote.
Several analysts indicated that the core of such a plan would eliminate the ACA's mandate that carriers cover patients with pre-existing conditions.
After his resort visit, Trump went back to his private club and reiterated on his demand that Republicans stop seeking compromise and try instead to eliminate and replace Obamacare with a iteration of the plan that failed to garner enough support in 2017.