Congressional Republicans Embrace Trump's Proposal to Replace Affordable Care Act
US lawmakers are working through 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 resolve the impasse appeared to recede as Republican senators proposed a proposal unacceptable to Democrats: eliminating the Affordable Care Act, known as Obamacare.
Deepening Consequences of Federal Closure
The effect on Americans from the longest shutdown of the US government in history deepened on Saturday, as federal workers went unpaid, carriers were forced to ground planes and Supplemental Nutrition Assistance Program benefits have been delayed for 42 million Americans.
President's Plan from Florida Resort
As weekend session got under way, GOP senators welcomed a proposal made on social media early Saturday by Donald Trump from his golf course in West Palm Beach, for government payments to be replaced by health savings accounts.
"I am recommending to Senate Republicans that the Hundreds of Billions of Dollars currently being sent to money sucking 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.
GOP Support
Multiple Republican senators welcomed the proposal, which is comparable with a alternative for Obamacare put forward in 2017.
"We will replace this failing program with something that is truly 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 posted in response to Trump's suggestion. "We must stop public funds from going to carriers and instead give it straight to Americans in health savings accounts and let them buy the health care they want."
Democratic Response
Democratic senators expressed concerned responses to Trump's plan.
"In other words, Donald Trump's 'proposal' for health care is another cynical attempt to eliminate Obamacare," one Democratic senator commented. "This is the same unsuccessful Republican plan that's been defeated by voters and Congress."
Another lawmaker responded to the criticism of insurance companies by writing: "Well, Trump and the Republicans can't stand how the large insurance companies are overcharging Americans. Seriously? In that case I welcome your support for universal healthcare."
Ongoing Negotiations
The Senate went into recess without reaching a resolution, but Senate Republican leaders have indicated an willingness to an emerging plan from a small group of moderate Democrats to end the closure in exchange for a later vote on the ACA payments.
One Democratic senator, who is spearheading the negotiations among moderates, said that Democrats "require another path forward" after Republicans turned down an proposal to restart the government and extend the payments for a year.
Another leading Democratic lawmaker persisted in maintaining that Republicans should accept a 12-month continuation of the payments before discussing the long-term of the subsidies.
"Doing nothing is derelict because people will go into debt, people will lose insurance, people will get sicker," the senator stated in a Senate address. "That's what will happen if this Congress does nothing."
Political Dynamics
Not one of the Republican senators seemed to address the fact that patients would still need to buy plans from the same carriers, or that Republican legislators need the support of eight Democrats to restart the government, and the concept of repealing and substituting Obamacare with HSAs is unlikely to earn a solitary Democratic vote.
Several observers suggested that the core of such a proposal would eliminate the ACA's requirement that carriers cover individuals with pre-existing conditions.
After his resort visit, Trump returned to his residence and doubled down on his insistence that Republicans stop seeking compromise and try instead to eliminate and overhaul Obamacare with a iteration of the plan that was unsuccessful to garner enough support in 2017.