American senators are meeting during the weekend for the first time since the federal closure began over a month ago, but expectations for a bipartisan agreement on how to resolve the impasse appeared to recede as GOP senators floated a plan unacceptable to Democrats: eliminating the Affordable Care Act, known as Obamacare.
Growing Impact of Government Shutdown
The effect on Americans from the lengthiest closure of the US government in history worsened on Saturday, as government employees went without pay, carriers were forced to ground planes and SNAP benefits have been delayed for forty-two million Americans.
President's Proposal from Golf Course
As Saturday's meeting got started, GOP senators welcomed a suggestion made on social media early Saturday by Donald Trump from his golf course in West Palm Beach, for government payments to be replaced 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 wrote.
GOP Support
Multiple Republican senators praised the plan, which is comparable with a replacement for Obamacare put forward in 2017.
"We will replace this broken system with something that is actually better for the patient," one senator said.
Another senator praised Trump's suggestion on social media, and stood next to a large print of Trump's post as he addressed on the Senate floor.
"I'm writing the bill right now," a third senator posted in reply to Trump's proposal. "We must stop public funds 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."
Opposition Reaction
Opposition lawmakers expressed concerned reactions to Trump's proposal.
"In other words, Donald Trump's 'proposal' for health care is another calculated attempt to repeal Obamacare," one Democratic senator stated. "It's the same unsuccessful Republican plan that's been rejected by voters and Congress."
Another lawmaker responded to the censure of carriers by writing: "Well, 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."
Continuing Negotiations
The Senate adjourned without reaching a resolution, but Senate Republican leaders have indicated an willingness to an emerging proposal from a small group of centrist lawmakers to terminate the shutdown in exchange for a future vote on the ACA subsidies.
One Democratic senator, who is leading the negotiations among moderates, said that Democrats "require another way ahead" after Republicans rejected an proposal to restart the government and extend the payments for a year.
Another senior Democratic lawmaker persisted in arguing that Republicans should accept a one-year extension of the subsidies before negotiating the future of the tax credits.
"Inaction is irresponsible because citizens will go into debt, people will lose insurance, people will get sicker," the senator said in a floor speech. "That's what will happen if this Congress fails to act."
Political Situation
Not one of the Republican senators seemed to address the fact that patients would still need to buy coverage from the same carriers, or that Republican lawmakers need the backing of eight Democrats to restart the government, and the concept of repealing and substituting Obamacare with HSAs is unlikely to earn a solitary Democratic vote.
Some observers suggested that the core of such a proposal would eliminate the ACA's requirement that insurance companies cover patients with existing health issues.
After his resort visit, Trump went back to his private club and reiterated on his insistence that Republicans stop seeking compromise and try instead to eliminate and replace Obamacare with a version of the plan that failed to secure enough support in 2017.