Congressional GOP Back Trump's Call to Overhaul Affordable Care Act
American lawmakers are meeting during the weekend for the initial time since the government shutdown began more than a month ago, but expectations for a cross-party deal on how to resolve the impasse appeared to diminish as Republican senators floated a plan toxic to Democrats: scrapping 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 deepened on Saturday, as federal workers went without pay, carriers were forced to ground planes and Supplemental Nutrition Assistance Program benefits have been postponed for forty-two million Americans.
President's Plan from Florida Resort
As Saturday's meeting got under way, GOP senators embraced a proposal made on social media early Saturday by Donald Trump from his golf course in West Palm Beach, for subsidies to be substituted by HSA-style 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.
GOP Support
Multiple Republican senators welcomed the plan, which is similar to a alternative for Obamacare proposed in 2017.
"We're going to replace this broken system with something that is actually better for the patient," one senator said.
Another senator praised 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'm writing the bill right now," a third senator posted in response to Trump's proposal. "We must stop public funds from going to insurance companies and instead give it directly to Americans in HSA-style accounts and let them buy the medical coverage they want."
Democratic Response
Opposition senators shared alarmed reactions to Trump's proposal.
"In other words, Donald Trump's 'proposal' 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 voters and Congress."
Another senator reacted to the censure of insurance companies by writing: "Well, Trump and the Republicans dislike how the large insurance companies are overcharging Americans. Seriously? Then I applaud your support for universal healthcare."
Ongoing Talks
The Senate went into recess without reaching a solution, but Senate Republican leaders have signaled an openness to an emerging proposal from a small group of moderate Democrats to end the shutdown in exchange for a later vote on the Obamacare payments.
One Democratic senator, who is leading the negotiations among moderates, said that Democrats "need another path forward" after Republicans turned down an proposal to reopen the government and extend the payments for a year.
Another leading Democratic lawmaker persisted in arguing that Republicans should accept a 12-month continuation of the subsidies before discussing the long-term of the tax credits.
"Inaction is irresponsible because citizens will go bankrupt, people will lose insurance, people will get more ill," the senator said in a Senate address. "That's 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 insurance companies, or that Republican legislators need the backing of several Democrats to reopen the government, and the concept of eliminating and replacing Obamacare with HSAs is improbable to earn a single Democratic vote.
Some observers indicated that the essence of such a proposal would eliminate the ACA's mandate that carriers cover individuals with pre-existing conditions.
After his resort visit, Trump returned to his private club and reiterated on his insistence that Republicans stop seeking compromise and try instead to eliminate and overhaul Obamacare with a version of the proposal that failed to garner enough support in 2017.