Senate Republicans Back President's Call to Replace Obamacare
American senators are meeting during the weekend for the initial 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 diminish as GOP senators proposed a plan unacceptable to Democrats: eliminating the ACA, known as Obamacare.
Deepening Consequences of Federal Closure
The impact on US citizens from the lengthiest shutdown of the US government in history worsened on Saturday, as federal workers went without pay, carriers were forced to ground planes and Supplemental Nutrition Assistance Program benefits have been delayed for 42 million Americans.
Trump's Proposal from Golf Course
As weekend meeting got started, Republican 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.
"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 wrote.
GOP Support
Several Republican senators praised the proposal, which is comparable with a replacement for Obamacare proposed in 2017.
"We will replace this broken system with something that is truly better for the patient," one senator said.
Another senator praised Trump's proposal on online platforms, and displayed 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 taxpayer money 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 Reaction
Democratic senators expressed alarmed responses to Trump's plan.
"In other words, Donald Trump's 'proposal' for health care is another cynical attempt to repeal Obamacare," one Democratic senator commented. "This is the same unsuccessful Republican plan that's been defeated by the public and Congress."
Another lawmaker reacted to the censure of carriers by writing: "Well, Trump and the Republicans can't stand how the large insurance companies are ripping-off Americans. Really? In that case I applaud your support for Medicare for All."
Continuing Negotiations
The Senate adjourned without finding a resolution, but Senate Republican leaders have indicated an openness to an emerging proposal from a small group of centrist lawmakers to terminate the closure in return for a later vote on the ACA payments.
One Democratic senator, who is leading the negotiations among moderates, said that Democrats "require another path forward" after Republicans rejected an offer to restart the government and continue the payments for a year.
Another leading Democratic senator continued in arguing that Republicans should accept a one-year extension of the subsidies before discussing the future of the tax credits.
"Inaction is irresponsible because people will go bankrupt, people will become uninsured, people will get more ill," the senator said in a floor speech. "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 carriers, or that Republican lawmakers need the support of eight Democrats to reopen the government, and the idea of repealing and substituting Obamacare with HSAs is unlikely to earn a single Democratic vote.
Several observers suggested that the essence of such a proposal would remove the ACA's mandate that carriers cover patients with existing health issues.
After his golf outing, Trump went back 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 was unsuccessful to secure enough support in 2017.