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Senate Republicans Embrace President's Call to Replace Affordable Care Act

US lawmakers are working through the weekend for the first time since the federal closure began more than a month ago, but hopes for a bipartisan agreement on how to end the impasse appeared to recede as GOP senators floated a proposal unacceptable to Democrats: scrapping the ACA, called Obamacare.

Deepening Consequences of Government Shutdown

The effect on Americans from the longest shutdown of the federal government in history worsened on Saturday, as federal workers went unpaid, carriers were compelled to cancel flights and Supplemental Nutrition Assistance Program benefits have been postponed for 42 million Americans.

President's Plan from Florida Resort

As Saturday's session got under way, GOP senators welcomed a proposal made on online platforms early Saturday by Donald Trump from his resort in West Palm Beach, for subsidies to be replaced by health savings accounts.

"My recommendation is to Senate Republicans that the 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 posted.

GOP Support

Multiple Republican senators praised the proposal, which is comparable with a replacement for Obamacare put forward in 2017.

"We're going to replace this failing program with something that is truly better for the patient," one senator said.

Another senator praised Trump's proposal on social media, and stood next to a large print of Trump's post as he spoke on the Senate floor.

"I am drafting the bill right now," a third senator wrote in reply to Trump's proposal. "We must stop taxpayer money from going to carriers and instead give it directly to Americans in HSA-style accounts and let them buy the medical coverage they want."

Opposition Response

Democratic senators shared concerned reactions to Trump's plan.

"In other words, Donald Trump's 'concept of a plan' for health care is yet another cynical attempt to repeal Obamacare," one Democratic senator stated. "This is the same unsuccessful Republican plan that's been defeated by voters and Congress."

Another senator reacted to the criticism of insurance companies by writing: "Well, Trump and the Republicans can't stand how the big, bad insurance companies are overcharging Americans. Really? In that case I applaud your support for Medicare for All."

Ongoing Negotiations

The Senate adjourned without reaching a solution, but Senate Republican leaders have indicated an willingness to an emerging plan from a handful of moderate Democrats to end the closure in exchange for a future vote on the ACA payments.

One Democratic senator, who is leading the negotiations among moderates, said that Democrats "need another path forward" after Republicans turned down an offer to restart the government and extend the subsidies for a year.

Another leading Democratic lawmaker continued in maintaining that Republicans should accept a one-year extension of the payments before negotiating the future of the tax credits.

"Inaction is irresponsible because people will go bankrupt, people will become uninsured, people will get sicker," the senator said in a Senate address. "That's what will happen if this Congress does nothing."

Political Situation

None of the Republican senators seemed to address the fact that consumers would still need to buy coverage from the same insurance companies, or that Republican legislators need the backing of several Democrats to restart the government, and the idea of repealing and substituting Obamacare with savings accounts is unlikely to earn a single Democratic vote.

Several analysts indicated that the essence of such a proposal would remove the ACA's requirement that insurance companies cover patients with pre-existing conditions.

After his resort visit, Trump returned to his private club and doubled down on his demand that Republicans stop seeking agreement and try instead to eliminate and overhaul Obamacare with a version of the proposal that failed to secure enough backing in 2017.

LG
About the author

Laura Gomez

Lena Voss is a writer and storyteller who explores the intersections of luck, fate, and human experience through engaging narratives.

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