Congressional Republicans Embrace President's Proposal to Overhaul Affordable Care Act

American senators are meeting during the weekend for the first time since the federal closure began over a month ago, but expectations for a cross-party deal on how to end the impasse appeared to recede as GOP senators proposed a plan toxic to Democrats: eliminating the Affordable Care Act, 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, airlines were compelled to ground planes and Supplemental Nutrition Assistance Program benefits have been delayed for forty-two million Americans.

Trump's Proposal from Golf Course

As weekend session got under way, GOP senators welcomed a suggestion made on social media early Saturday by Donald Trump from his resort in West Palm Beach, for subsidies to be replaced by HSA-style 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 ineffective Healthcare provided by ObamaCare, BE SENT DIRECTLY TO THE PEOPLE SO THAT THEY CAN PURCHASE THEIR OWN, MUCH BETTER, HEALTHCARE," Trump posted.

GOP Endorsement

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

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

Another senator commended Trump's proposal on social media, and stood next to a large print of Trump's post as he spoke on the Senate floor.

"I am drafting the bill right now," a third senator posted in response to Trump's suggestion. "We must stop public funds from going to carriers and instead give it directly to Americans in HSA-style accounts and let them buy the health care they want."

Opposition Response

Opposition lawmakers shared alarmed reactions to Trump's proposal.

"Essentially, Donald Trump's 'concept of a plan' for health care is another calculated attempt to eliminate Obamacare," one Democratic senator commented. "It's the same failed Republican plan that's been rejected by voters and Congress."

Another lawmaker responded to the criticism of insurance companies by writing: "Well, Trump and the Republicans can't stand how the large insurance companies are overcharging Americans. Really? Then I applaud your support for universal healthcare."

Ongoing Negotiations

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

One Democratic senator, who is leading the negotiations among centrists, said that Democrats "need another path forward" after Republicans turned down an proposal to restart the government and extend the subsidies for a year.

Another leading Democratic lawmaker continued in maintaining that Republicans should accept a 12-month continuation of the subsidies before discussing the future of the subsidies.

"Doing nothing is derelict because citizens will go bankrupt, people will become uninsured, people will get sicker," the senator said in a floor speech. "That is what will happen if this Congress does nothing."

Political Dynamics

None of the Republican senators seemed to grapple with the fact that patients would still need to buy plans from the same carriers, or that Republican lawmakers need the backing of eight Democrats to restart the government, and the concept of eliminating and replacing Obamacare with HSAs is unlikely to earn a single Democratic vote.

Some analysts suggested that the essence of such a plan would eliminate the ACA's requirement that insurance companies cover patients with existing health issues.

After his resort visit, Trump returned to his residence and reiterated on his demand that Republicans stop seeking compromise and try instead to eliminate and overhaul Obamacare with a version of the plan that was unsuccessful to garner enough support in 2017.

Kenneth Nichols
Kenneth Nichols

Award-winning journalist with over 15 years of experience covering international affairs and digital media trends.