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Congressional GOP Support President's Call to Overhaul Affordable Care Act

US senators are working through the weekend for the first time since the federal closure began over a month ago, but hopes for a cross-party deal on how to resolve the standoff appeared to recede as Republican senators proposed a proposal toxic to Democrats: eliminating the Affordable Care Act, called Obamacare.

Growing Consequences of Government Shutdown

The impact on Americans from the lengthiest closure of the US government in history deepened on Saturday, as federal workers went unpaid, airlines were forced to ground planes and Supplemental Nutrition Assistance Program benefits have been postponed for 42 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 resort in West Palm Beach, for government payments to be replaced by HSA-style accounts.

"I am recommending to Senate Republicans that the Billions of Dollars currently being sent to money sucking 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 wrote.

GOP Endorsement

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

"We're going to replace this failing program with something that is actually better for the patient," one senator said.

Another senator praised Trump's suggestion on online platforms, and stood next to a giant blow-up of Trump's post as he spoke on the Senate floor.

"I'm writing the bill right now," a third senator wrote in reply to Trump's proposal. "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 health care 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. "This is the same unsuccessful Republican plan that's been rejected by voters and Congress."

Another senator reacted to the censure of carriers by posting: "Oh, Trump and the Republicans can't stand how the large insurance companies are ripping-off Americans. Seriously? Then I applaud your support for universal healthcare."

Ongoing Negotiations

The Senate went into recess without finding a solution, but Senate Republican leaders have indicated an openness to an emerging proposal from a small group of moderate Democrats to end the closure in exchange for a later vote on the ACA subsidies.

One Democratic senator, who is spearheading the negotiations among centrists, said that Democrats "need another way ahead" after Republicans rejected an proposal to reopen the government and extend the payments for a year.

Another senior Democratic senator persisted in arguing that Republicans should agree to a one-year extension of the subsidies before negotiating the future of the subsidies.

"Inaction is derelict because citizens will go bankrupt, people will become uninsured, people will get more ill," the senator said in a Senate address. "That's what will happen if this Congress fails to act."

Partisan Situation

Not one of the Republican senators seemed to address the fact that patients would still need to buy plans from the same insurance companies, or that Republican lawmakers need the support of several Democrats to restart the government, and the idea of eliminating and substituting Obamacare with HSAs is unlikely to earn a single Democratic vote.

Several observers indicated that the core of such a plan would remove the ACA's mandate that carriers cover individuals with pre-existing conditions.

After his golf outing, Trump went back to his residence and reiterated on his insistence that Republicans stop seeking compromise and try instead to eliminate and overhaul Obamacare with a iteration of the proposal that was unsuccessful to secure enough support in 2017.

About the author

Denise Flowers

A royal historian with a PhD from Leiden University, specializing in European monarchies.

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