Congressional GOP Back Trump's Proposal to Replace Obamacare

US senators are working through the weekend for the first time since the government shutdown began more than a month ago, but expectations for a bipartisan agreement on how to resolve the impasse appeared to recede as Republican senators floated a proposal unacceptable to Democrats: eliminating the ACA, called Obamacare.

Growing Consequences of Federal Closure

The impact on US citizens from the lengthiest shutdown of the federal government in history worsened on Saturday, as federal workers went unpaid, carriers were compelled to ground planes and SNAP benefits have been postponed for forty-two million Americans.

President's Plan from Florida Resort

As Saturday's session got under way, 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.

"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 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 welcomed the proposal, which is similar to a replacement for Obamacare put forward in 2017.

"We're going to replace this broken system with something that is truly better for the consumer," one senator said.

Another senator praised Trump's suggestion on social media, 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 wrote in reply to Trump's suggestion. "We need to stop public funds from going to carriers and instead give it straight to Americans in health savings accounts and let them buy the medical coverage they want."

Opposition Response

Opposition senators shared alarmed reactions to Trump's proposal.

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

Another senator responded to the criticism of insurance companies by posting: "Oh, Trump and the Republicans dislike how the large insurance companies are overcharging Americans. Really? In that case I applaud your support for universal healthcare."

Continuing Talks

The Senate adjourned without reaching a resolution, but Senate Republican leaders have indicated an openness to an emerging proposal from a handful of centrist lawmakers to terminate the shutdown in exchange for a future vote on the Obamacare payments.

One Democratic senator, who is leading the talks among moderates, said that Democrats "need another way ahead" after Republicans rejected an offer to reopen the government and extend the subsidies for a year.

Another senior Democratic lawmaker continued in arguing that Republicans should accept a one-year extension of the subsidies before discussing the future of the tax credits.

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

Partisan Dynamics

Not one 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 idea of eliminating and substituting Obamacare with HSAs is improbable to earn a single Democratic vote.

Some analysts suggested that the core of such a plan would eliminate the ACA's mandate that insurance companies cover patients with pre-existing conditions.

After his resort visit, Trump returned to his residence and reiterated on his insistence that Republicans stop seeking agreement and try instead to repeal and overhaul Obamacare with a iteration of the proposal that failed to secure enough support in 2017.

Courtney Sawyer
Courtney Sawyer

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