US senators are meeting during the weekend for the first 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 recede as Republican senators floated a plan toxic to Democrats: eliminating the ACA, called Obamacare.
Deepening Impact of Government Shutdown
The effect on US citizens from the longest shutdown of the federal government in history deepened on Saturday, as government employees went without pay, airlines were forced to cancel flights and Supplemental Nutrition Assistance Program benefits have been delayed for 42 million Americans.
President's Proposal from Florida Resort
As weekend session got under way, 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 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 wrote.
Republican Support
Multiple Republican senators welcomed the plan, which is similar to a alternative for Obamacare proposed in 2017.
"We will replace this broken system with something that is truly better for the patient," one senator stated.
Another senator commended Trump's proposal on online platforms, 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 need to stop taxpayer money from going to insurance companies and instead give it straight to Americans in health savings accounts and let them buy the health care they want."
Opposition Reaction
Opposition lawmakers expressed alarmed responses to Trump's plan.
"Essentially, Donald Trump's 'proposal' for health care is yet another calculated attempt to repeal Obamacare," one Democratic senator commented. "It's the same failed Republican plan that's been rejected by the public and Congress."
Another lawmaker responded to the criticism of carriers by posting: "Well, Trump and the Republicans dislike how the big, bad insurance companies are ripping-off Americans. Seriously? Then I applaud your support for Medicare for All."
Ongoing Negotiations
The Senate went into recess without reaching a resolution, but Senate Republican leaders have signaled an willingness to an developing proposal from a handful 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 centrists, said that Democrats "require another way ahead" after Republicans turned down an offer to reopen 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 subsidies.
"Inaction is irresponsible because people 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 does nothing."
Political Dynamics
None of the Republican senators seemed to grapple with the fact that consumers would still need to buy plans from the same carriers, or that Republican legislators need the backing of several Democrats to reopen the government, and the idea of eliminating and replacing Obamacare with savings accounts is unlikely to earn a single Democratic vote.
Several observers suggested that the essence of such a proposal would eliminate the ACA's mandate that carriers cover patients with existing health issues.
After his golf outing, Trump went back to his private club and reiterated on his demand that Republicans stop seeking compromise and try instead to eliminate and replace Obamacare with a version of the plan that was unsuccessful to secure enough support in 2017.