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Congressional GOP Embrace President's Proposal to Replace Affordable Care Act

American lawmakers are meeting during the weekend for the initial time since the government shutdown began more than a month ago, but hopes for a cross-party deal on how to resolve the impasse appeared to recede as Republican senators proposed a proposal toxic to Democrats: scrapping the ACA, known as Obamacare.

Deepening Consequences of Federal Closure

The impact on US citizens from the longest 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 42 million Americans.

Trump's Plan from Florida Resort

As weekend session got started, GOP senators welcomed a suggestion made on social media early Saturday by Donald Trump from his resort in West Palm Beach, for subsidies 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 ineffective Healthcare provided by ObamaCare, BE SENT DIRECTLY TO THE PEOPLE SO THAT THEY CAN PURCHASE THEIR OWN, MUCH BETTER, HEALTHCARE," Trump wrote.

Republican Endorsement

Several Republican senators welcomed the proposal, which is similar to a replacement for Obamacare proposed in 2017.

"We will replace this broken system with something that is actually better for the consumer," one senator stated.

Another senator praised Trump's suggestion on online platforms, 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 reply to Trump's proposal. "We need to stop public funds from going to carriers and instead give it directly to Americans in health savings accounts and let them buy the health care they want."

Opposition Response

Opposition senators shared alarmed responses to Trump's proposal.

"Essentially, Donald Trump's 'proposal' for health care is yet another cynical attempt to repeal Obamacare," one Democratic senator commented. "It's the same unsuccessful Republican plan that's been defeated by voters and Congress."

Another lawmaker reacted to the censure of insurance companies by posting: "Oh, Trump and the Republicans can't stand how the large insurance companies are overcharging Americans. Seriously? In that case I welcome your support for Medicare for All."

Ongoing Talks

The Senate adjourned without finding a resolution, but Senate Republican leaders have indicated an willingness to an developing plan from a handful of moderate Democrats 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 turned down an offer to reopen the government and continue the subsidies for a year.

Another leading Democratic lawmaker persisted in arguing that Republicans should agree to a one-year extension of the subsidies before discussing the future of the tax credits.

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

Partisan Situation

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 concept of repealing and substituting Obamacare with savings accounts is unlikely to earn a solitary Democratic vote.

Several observers suggested that the core of such a plan would eliminate the ACA's mandate that carriers cover individuals with pre-existing conditions.

After his golf outing, Trump returned to his residence and reiterated on his insistence that Republicans stop seeking compromise and try instead to eliminate and overhaul Obamacare with a version of the proposal that was unsuccessful to secure enough support in 2017.

About the author

Hannah Bates

A seasoned journalist with over 15 years covering European politics and international relations, based in London.

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