Congressional GOP Support Trump's Proposal to Replace Affordable Care Act

American lawmakers are working through the weekend for the first time since the government shutdown began more than a month ago, but expectations for a cross-party deal on how to end the standoff appeared to diminish as GOP senators proposed a proposal unacceptable to Democrats: eliminating the ACA, called Obamacare.

Growing Impact of Federal Closure

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

Trump's Proposal from Golf Course

As Saturday's meeting got started, GOP senators embraced a suggestion made on online platforms early Saturday by Donald Trump from his resort in West Palm Beach, for subsidies to be substituted by health savings accounts.

"My recommendation is to Senate Republicans that the 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 wrote.

Republican Endorsement

Several Republican senators praised the proposal, which is similar to a replacement for Obamacare put forward in 2017.

"We're going to replace this failing program 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 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 reply to Trump's proposal. "We need to stop public funds from going to insurance companies and instead give it directly to Americans in health savings accounts and let them buy the medical coverage they want."

Democratic Response

Opposition senators shared concerned responses to Trump's proposal.

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

Another senator reacted to the censure of insurance companies by posting: "Well, Trump and the Republicans can't stand how the large insurance companies are ripping-off Americans. Seriously? In that case I welcome your support for Medicare for All."

Continuing Talks

The Senate adjourned without finding a resolution, but Senate Republican leaders have indicated an openness to an developing proposal from a small group of centrist lawmakers to terminate the closure in return for a future vote on the Obamacare payments.

One Democratic senator, who is leading the negotiations among centrists, said that Democrats "need another way ahead" after Republicans turned down an proposal to reopen the government and continue the payments for a year.

Another leading Democratic lawmaker continued in arguing that Republicans should accept a one-year extension of the payments before negotiating the future of the subsidies.

"Doing nothing is irresponsible because people will go into debt, people will become uninsured, people will get sicker," the senator stated in a Senate address. "That is what will happen if this Congress does nothing."

Political Situation

Not one of the Republican senators seemed to grapple with the fact that patients would still need to buy coverage from the same carriers, or that Republican lawmakers need the backing of eight Democrats to reopen the government, and the idea of eliminating and substituting Obamacare with savings accounts is unlikely to earn a single Democratic vote.

Some observers indicated that the essence of such a proposal would remove the ACA's mandate that carriers cover individuals with existing health issues.

After his resort visit, Trump went back to his residence and doubled down on his insistence that Republicans stop seeking agreement and try instead to eliminate and overhaul Obamacare with a version of the proposal that failed to secure enough backing in 2017.

Bonnie Holt
Bonnie Holt

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