US lawmakers are meeting during the weekend for the initial time since the government shutdown began over a month ago, but expectations for a bipartisan agreement on how to end the impasse appeared to recede as GOP senators floated a plan toxic to Democrats: scrapping the ACA, called Obamacare.
Deepening Consequences of Federal Closure
The effect on Americans from the lengthiest closure of the federal government in history deepened on Saturday, as federal workers went without pay, carriers were compelled to cancel flights and Supplemental Nutrition Assistance Program benefits have been postponed for forty-two million Americans.
President's Proposal from Golf Course
As weekend meeting got under way, GOP senators embraced a suggestion made on social media early Saturday by Donald Trump from his golf course in West Palm Beach, for subsidies to be replaced by health savings 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 Endorsement
Multiple Republican senators welcomed the plan, which is similar to a alternative for Obamacare proposed in 2017.
"We're going to replace this failing program with something that is actually better for the consumer," one senator said.
Another senator commended Trump's proposal on social media, and displayed 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 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."
Democratic Reaction
Opposition lawmakers shared alarmed reactions to Trump's proposal.
"Essentially, Donald Trump's 'proposal' for health care is another cynical attempt to repeal Obamacare," one Democratic senator commented. "This is the same unsuccessful Republican plan that's been rejected by the public and Congress."
Another senator reacted to the censure of carriers by posting: "Well, Trump and the Republicans dislike how the large insurance companies are ripping-off Americans. Seriously? Then I welcome your support for universal healthcare."
Continuing Negotiations
The Senate adjourned without reaching a solution, but Senate Republican leaders have indicated an willingness to an developing proposal from a small group of centrist lawmakers to terminate the closure in return for a future vote on the ACA subsidies.
One Democratic senator, who is spearheading the negotiations among centrists, said that Democrats "require another way ahead" after Republicans turned down an proposal to restart the government and continue the subsidies 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.
"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 fails to act."
Partisan Dynamics
None of the Republican senators seemed to address the fact that patients would still need to buy coverage from the same insurance companies, or that Republican lawmakers need the backing of several Democrats to reopen the government, and the idea of repealing and substituting Obamacare with HSAs is unlikely to earn a single Democratic vote.
Some observers suggested that the core of such a plan would remove the ACA's mandate that insurance companies cover individuals with pre-existing conditions.
After his resort visit, Trump went back to his residence and reiterated on his insistence that Republicans stop seeking agreement and try instead to eliminate and overhaul Obamacare with a version of the plan that was unsuccessful to secure enough backing in 2017.