US senators are working through the weekend for the initial time since the government shutdown began more than a month ago, but hopes for a bipartisan agreement on how to end the standoff appeared to recede as GOP senators proposed a proposal unacceptable to Democrats: scrapping the ACA, known as Obamacare.
Growing Impact 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 without pay, airlines were compelled to cancel flights and Supplemental Nutrition Assistance Program benefits have been postponed for 42 million Americans.
President's Proposal from Florida Resort
As weekend session got under way, GOP senators embraced a suggestion made on online platforms early Saturday by Donald Trump from his resort in West Palm Beach, for government payments to be substituted by health savings accounts.
"My recommendation is 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.
Republican Support
Several Republican senators welcomed the proposal, which is similar to a replacement for Obamacare put forward in 2017.
"We will replace this broken system with something that is truly better for the consumer," one senator stated.
Another senator praised Trump's proposal on online platforms, and displayed a large print 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 need to stop public funds from going to carriers and instead give it straight to Americans in HSA-style accounts and let them buy the medical coverage they want."
Opposition Response
Democratic senators shared alarmed reactions to Trump's proposal.
"In other words, Donald Trump's 'concept of a plan' for health care is yet another cynical attempt to eliminate Obamacare," one Democratic senator commented. "It's the same failed Republican plan that's been rejected by the public and Congress."
Another lawmaker reacted to the criticism of insurance companies by writing: "Oh, Trump and the Republicans can't stand how the large insurance companies are overcharging Americans. Seriously? Then I applaud your support for Medicare for All."
Ongoing Negotiations
The Senate adjourned without reaching 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 exchange for a future vote on the ACA subsidies.
One Democratic senator, who is leading the talks among centrists, said that Democrats "require another path forward" after Republicans rejected an proposal to reopen the government and extend the payments for a year.
Another leading Democratic lawmaker continued in maintaining that Republicans should accept a 12-month continuation of the subsidies before negotiating the future of the tax credits.
"Doing nothing is derelict because citizens will go bankrupt, people will become uninsured, people will get more ill," the senator stated in a Senate address. "That's 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 insurance companies, or that Republican legislators need the support of eight Democrats to reopen the government, and the concept of repealing and replacing Obamacare with HSAs is unlikely to earn a solitary Democratic vote.
Some analysts indicated that the essence of such a proposal would eliminate the ACA's mandate that carriers cover patients with existing health issues.
After his golf outing, Trump went back to his private club and reiterated on his demand that Republicans stop seeking agreement and try instead to repeal and overhaul Obamacare with a version of the proposal that was unsuccessful to secure enough support in 2017.