Congressional Republicans Support President's Proposal to Overhaul Affordable Care Act

American senators are working through the weekend for the first time since the federal closure began more than a month ago, but expectations for a bipartisan agreement on how to end the impasse appeared to recede as Republican senators floated a plan unacceptable to Democrats: scrapping the ACA, known as Obamacare.

Growing Consequences of Government Shutdown

The effect on US citizens from the lengthiest closure of the federal government in history worsened on Saturday, as federal workers went unpaid, airlines were compelled to ground planes and Supplemental Nutrition Assistance Program benefits have been delayed for 42 million Americans.

President's Proposal from Golf Course

As Saturday's meeting got started, GOP senators welcomed a proposal made on social media early Saturday by Donald Trump from his resort in West Palm Beach, for government payments to be substituted 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 Endorsement

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

"We will replace this failing program with something that is truly better for the patient," one senator stated.

Another senator commended Trump's suggestion on online platforms, and displayed a giant blow-up of Trump's post as he spoke on the Senate floor.

"I'm writing the bill right now," a third senator wrote in response to Trump's suggestion. "We must stop public funds from going to carriers and instead give it straight to Americans in HSA-style accounts and let them buy the health care they want."

Democratic Response

Opposition senators shared concerned responses to Trump's proposal.

"Essentially, Donald Trump's 'concept of a plan' for health care is another calculated attempt to eliminate Obamacare," one Democratic senator stated. "It's the same failed Republican plan that's been defeated by the public and Congress."

Another lawmaker responded to the criticism of insurance companies by posting: "Oh, Trump and the Republicans dislike how the large insurance companies are overcharging Americans. Really? In that case I applaud your support for Medicare for All."

Continuing Negotiations

The Senate went into recess without finding a solution, but Senate Republican leaders have indicated an willingness to an emerging plan from a small group of moderate Democrats to terminate the shutdown in exchange for a future vote on the Obamacare payments.

One Democratic senator, who is spearheading the talks among centrists, said that Democrats "require another way ahead" after Republicans turned down an proposal to restart the government and continue the subsidies for a year.

Another senior Democratic senator persisted in arguing that Republicans should accept a one-year extension of the subsidies before discussing the future of the subsidies.

"Inaction is derelict because people will go bankrupt, people will lose insurance, people will get more ill," the senator stated in a floor speech. "That is what will happen if this Congress does nothing."

Political Situation

Not one of the Republican senators seemed to grapple with the fact that patients would still need to buy coverage from the same carriers, or that Republican legislators need the backing of eight Democrats to reopen the government, and the idea of eliminating and substituting Obamacare with savings accounts is improbable to earn a single Democratic vote.

Several observers suggested that the essence of such a proposal would eliminate the ACA's requirement that insurance companies cover patients with pre-existing conditions.

After his golf outing, Trump returned to his private club and reiterated on his demand that Republicans stop seeking agreement and try instead to eliminate and overhaul Obamacare with a iteration of the proposal that failed to secure enough backing in 2017.

Dawn Hill
Dawn Hill

Elena Visser is a certified nutritionist and health writer with over a decade of experience in public health.