Senate GOP Back President's Proposal to Replace Affordable Care Act

US lawmakers are working through 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 end the standoff appeared to diminish as Republican senators proposed a plan toxic to Democrats: eliminating the ACA, known as Obamacare.

Growing Consequences of Federal Closure

The effect on Americans from the lengthiest shutdown of the federal government in history worsened on Saturday, as federal workers went without pay, carriers were forced to ground planes and SNAP benefits have been postponed for 42 million Americans.

President's Plan from Golf Course

As Saturday's session got started, Republican senators embraced a proposal made on online platforms early Saturday by Donald Trump from his golf course in West Palm Beach, for subsidies to be replaced by HSA-style accounts.

"My recommendation is to Senate Republicans that the 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.

Republican Support

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

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

Another senator commended Trump's proposal on social media, and stood next to a giant blow-up 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 need to stop public funds from going to carriers and instead give it straight to Americans in health savings accounts and let them buy the health care they want."

Opposition Reaction

Opposition lawmakers shared alarmed responses to Trump's plan.

"In other words, Donald Trump's 'proposal' for health care is yet another cynical attempt to eliminate Obamacare," one Democratic senator stated. "This is the same failed Republican plan that's been defeated by the public and Congress."

Another lawmaker reacted to the criticism of carriers by posting: "Well, Trump and the Republicans dislike how the big, bad insurance companies are overcharging Americans. Really? In that case I applaud your support for Medicare for All."

Continuing Negotiations

The Senate went into recess without reaching a resolution, but Senate Republican leaders have indicated an openness to an emerging proposal from a handful of moderate Democrats to terminate the shutdown in exchange for a future vote on the Obamacare payments.

One Democratic senator, who is spearheading the talks among moderates, said that Democrats "need another path forward" after Republicans turned down an offer to reopen the government and continue the subsidies 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 subsidies.

"Inaction is derelict because citizens will go bankrupt, people will lose insurance, people will get more ill," the senator stated in a floor speech. "That's what will happen if this Congress fails to act."

Political Situation

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

Several observers suggested that the essence of such a proposal would eliminate the ACA's requirement that insurance companies 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 repeal and replace Obamacare with a iteration of the plan that failed to garner enough backing in 2017.

Paul Richardson
Paul Richardson

Liam Visser is a Dutch fashion journalist with over a decade of experience in luxury style reporting.