Senate Republicans Embrace President's Proposal to Overhaul Affordable Care Act

US lawmakers are meeting during the weekend for the initial time since the federal closure began over a month ago, but hopes for a cross-party deal on how to end the standoff appeared to diminish as Republican senators floated a plan unacceptable to Democrats: eliminating the ACA, known as Obamacare.

Deepening Impact of Government Shutdown

The impact on US citizens from the longest closure of the US government in history worsened on Saturday, as government employees went without pay, airlines were forced to ground planes and SNAP benefits have been delayed for 42 million Americans.

Trump's Plan from Golf Course

As Saturday's session got under way, Republican senators embraced a proposal made on social media early Saturday by Donald Trump from his resort 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.

Republican Endorsement

Multiple Republican senators welcomed the plan, which is similar to a replacement for Obamacare put forward in 2017.

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

Another senator commended Trump's suggestion on social media, and displayed a large print of Trump's post as he addressed on the Senate floor.

"I am drafting the bill right now," a third senator posted in reply to Trump's suggestion. "We need to stop taxpayer money from going to carriers 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 concerned responses to Trump's proposal.

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

Another senator responded to the criticism of carriers by posting: "Oh, Trump and the Republicans can't stand how the big, bad insurance companies are overcharging Americans. Seriously? In that case I welcome your support for universal healthcare."

Continuing Negotiations

The Senate went into recess without reaching a resolution, but Senate Republican leaders have signaled an willingness to an developing plan from a small group of moderate Democrats to terminate the shutdown in exchange for a future vote on the ACA payments.

One Democratic senator, who is spearheading the talks among moderates, said that Democrats "need another way ahead" after Republicans rejected an proposal to reopen the government and continue 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 long-term of the subsidies.

"Doing nothing is derelict because people will go into debt, people will become uninsured, people will get sicker," the senator stated in a Senate address. "That's what will happen if this Congress does nothing."

Political Dynamics

Not one 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 legislators need the backing of eight Democrats to restart the government, and the concept of eliminating and replacing Obamacare with HSAs is unlikely to earn a solitary Democratic vote.

Some observers indicated that the essence of such a plan would eliminate the ACA's requirement that insurance companies cover patients with existing health issues.

After his resort visit, Trump went back to his residence and doubled down on his insistence that Republicans stop seeking compromise and try instead to eliminate and replace Obamacare with a iteration of the plan that failed to secure enough support in 2017.

Erica Hall
Erica Hall

Elena is a content strategist and writer with a passion for simplifying complex topics for everyday readers.