Senate Republicans Embrace Trump's Proposal to Overhaul Affordable Care Act

American senators are meeting during the weekend for the initial time since the government shutdown began over a month ago, but hopes for a cross-party deal on how to end the impasse appeared to recede as Republican senators proposed a proposal toxic to Democrats: eliminating the Affordable Care Act, known as Obamacare.

Growing Consequences of Government Shutdown

The impact on Americans from the longest shutdown of the federal government in history worsened on Saturday, as federal workers went without pay, airlines were compelled to cancel flights and SNAP benefits have been delayed for 42 million Americans.

President's Plan from Florida Resort

As Saturday's meeting got under way, Republican senators welcomed a suggestion 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.

"I am recommending 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

Multiple Republican senators praised the proposal, which is comparable with a replacement for Obamacare proposed in 2017.

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

Another senator commended Trump's suggestion on social media, and displayed a giant blow-up of Trump's post as he spoke on the Senate floor.

"I'm writing the bill right now," a third senator wrote in response to Trump's proposal. "We must stop taxpayer money from going to carriers and instead give it directly to Americans in HSA-style accounts and let them buy the medical coverage they want."

Democratic Response

Democratic senators expressed alarmed reactions to Trump's plan.

"Essentially, Donald Trump's 'proposal' for health care is another cynical attempt to repeal Obamacare," one Democratic senator stated. "This is the same unsuccessful Republican plan that's been rejected by the public and Congress."

Another lawmaker reacted to the criticism of insurance companies by posting: "Oh, Trump and the Republicans can't stand how the large insurance companies are ripping-off Americans. Really? In that case I welcome your support for universal healthcare."

Ongoing Negotiations

The Senate went into recess without reaching a solution, but Senate Republican leaders have signaled an willingness to an emerging proposal from a handful of moderate Democrats to terminate the closure in exchange for a future vote on the ACA payments.

One Democratic senator, who is leading the negotiations among centrists, said that Democrats "require another way ahead" after Republicans turned down an offer to restart the government and extend the payments for a year.

Another senior Democratic senator continued in maintaining that Republicans should accept a 12-month continuation of the subsidies before negotiating the future of the subsidies.

"Doing nothing is derelict because citizens will go into debt, people will become uninsured, people will get sicker," the senator said in a floor speech. "That's what will happen if this Congress fails to act."

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 support of several Democrats to restart the government, and the concept of repealing and substituting Obamacare with HSAs is improbable to earn a solitary Democratic vote.

Several observers indicated that the core of such a plan would remove the ACA's mandate that carriers cover patients with pre-existing conditions.

After his resort visit, Trump returned to his residence and reiterated on his demand that Republicans stop seeking agreement and try instead to eliminate and replace Obamacare with a version of the plan that failed to secure enough backing in 2017.

Carl Osborne
Carl Osborne

A tech strategist with over a decade of experience in IT consulting, specializing in business continuity and digital transformation.

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