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Senate GOP Embrace Trump's Proposal to Replace Affordable Care Act

US lawmakers are working through the weekend for the initial time since the government shutdown began over a month ago, but hopes for a cross-party deal on how to resolve the standoff appeared to recede as GOP senators floated a plan toxic to Democrats: scrapping the Affordable Care Act, known as Obamacare.

Growing Impact of Federal Closure

The impact on Americans from the longest shutdown of the US government in history worsened on Saturday, as government employees went without pay, carriers were compelled to cancel flights and Supplemental Nutrition Assistance Program benefits have been delayed for forty-two million Americans.

Trump's Proposal from Florida Resort

As weekend session got under way, Republican senators embraced a proposal 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.

"My recommendation is 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.

Republican Support

Multiple Republican senators welcomed the proposal, which is comparable with 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 praised Trump's suggestion on online platforms, 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 wrote in reply to Trump's proposal. "We need to stop public funds from going to carriers and instead give it directly to Americans in HSA-style accounts and let them buy the medical coverage they want."

Democratic Reaction

Democratic lawmakers expressed alarmed responses to Trump's plan.

"Essentially, Donald Trump's 'concept of a plan' for health care is yet another calculated attempt to repeal Obamacare," one Democratic senator commented. "This is the same failed Republican plan that's been defeated by voters and Congress."

Another senator responded to the criticism of insurance companies by writing: "Oh, Trump and the Republicans can't stand how the large insurance companies are overcharging Americans. Really? Then I applaud your support for Medicare for All."

Ongoing Negotiations

The Senate adjourned without reaching a resolution, but Senate Republican leaders have indicated an openness to an developing proposal from a small group of centrist lawmakers to terminate the closure in return for a future vote on the Obamacare payments.

One Democratic senator, who is leading the talks among moderates, said that Democrats "need another way ahead" after Republicans rejected an offer to reopen the government and extend the subsidies for a year.

Another senior Democratic lawmaker persisted in maintaining that Republicans should agree to a one-year extension of the payments before discussing the long-term of the subsidies.

"Inaction is derelict because citizens will go into debt, people will become uninsured, people will get more ill," the senator said in a Senate address. "That is what will happen if this Congress does nothing."

Political Dynamics

Not one of the Republican senators seemed to grapple with the fact that consumers would still need to buy coverage from the same insurance companies, or that Republican lawmakers need the support of eight Democrats to restart the government, and the concept of eliminating and substituting Obamacare with HSAs is unlikely to earn a solitary Democratic vote.

Several observers suggested that the essence of such a proposal 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 demand that Republicans stop seeking compromise and try instead to eliminate and overhaul Obamacare with a version of the proposal that was unsuccessful to garner enough support in 2017.

Written by

Kathleen Wells

A mindfulness coach and writer passionate about sharing transformative life stories and evidence-based wellness strategies.

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