Congressional Republicans Back President's Proposal to Replace Affordable Care Act

US lawmakers are working through the weekend for the first time since the government shutdown began over a month ago, but expectations for a cross-party deal on how to end the standoff appeared to recede as GOP senators floated a plan toxic to Democrats: eliminating the Affordable Care Act, called Obamacare.

Growing Impact of Government Shutdown

The impact on US citizens from the longest shutdown of the federal government in history deepened on Saturday, as federal workers went without pay, airlines were forced to ground planes and Supplemental Nutrition Assistance Program benefits have been delayed for 42 million Americans.

Trump's Plan from Florida Resort

As Saturday's meeting got started, GOP senators welcomed a proposal made on online platforms 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 ineffective Healthcare provided by ObamaCare, BE SENT DIRECTLY TO THE PEOPLE SO THAT THEY CAN PURCHASE THEIR OWN, MUCH BETTER, HEALTHCARE," Trump posted.

Republican Support

Several Republican senators welcomed the plan, which is similar to a alternative for Obamacare proposed in 2017.

"We will replace this failing program with something that is truly better for the consumer," one senator stated.

Another senator commended 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 suggestion. "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."

Democratic Response

Opposition senators shared concerned responses to Trump's plan.

"In other words, Donald Trump's 'proposal' for health care is yet another calculated attempt to repeal Obamacare," one Democratic senator commented. "This is the same unsuccessful Republican plan that's been defeated by voters and Congress."

Another lawmaker reacted to the criticism of insurance companies by posting: "Oh, Trump and the Republicans dislike how the large insurance companies are overcharging Americans. Seriously? Then I welcome your support for Medicare for All."

Continuing Talks

The Senate adjourned without reaching a solution, but Senate Republican leaders have signaled an openness to an developing plan from a handful of moderate Democrats to terminate the closure in return for a later vote on the Obamacare subsidies.

One Democratic senator, who is spearheading the negotiations among moderates, said that Democrats "require another path forward" after Republicans rejected an offer to restart the government and extend the payments for a year.

Another senior Democratic senator persisted in maintaining that Republicans should accept a one-year extension of the payments before discussing the future of the tax credits.

"Doing nothing is irresponsible because people will go into debt, 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."

Political Dynamics

None 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 lawmakers need the backing of several Democrats to restart the government, and the idea of eliminating and replacing Obamacare with savings accounts is improbable to earn a single Democratic vote.

Some observers indicated that the core of such a plan would remove the ACA's requirement that insurance companies cover patients with existing health issues.

After his resort visit, Trump went back to his private club and reiterated on his insistence that Republicans stop seeking agreement and try instead to eliminate and replace Obamacare with a iteration of the plan that was unsuccessful to secure enough support in 2017.

Cindy Lee
Cindy Lee

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