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

US lawmakers are working through the weekend for the first time since the government shutdown began over a month ago, but hopes for a bipartisan agreement on how to resolve the impasse appeared to diminish as Republican senators floated a plan unacceptable to Democrats: scrapping the ACA, known as Obamacare.

Deepening Impact of Government Shutdown

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

Trump's Plan from Florida Resort

As Saturday's meeting got under way, Republican senators embraced 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 money sucking 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

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

"We're going to replace this broken system with something that is actually better for the consumer," one senator said.

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

"I'm writing the bill right now," a third senator posted in response to Trump's proposal. "We need to stop public funds from going to insurance companies and instead give it straight to Americans in HSA-style accounts and let them buy the medical coverage they want."

Opposition Response

Opposition senators shared concerned responses to Trump's plan.

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

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

Ongoing Talks

The Senate went into recess without reaching a solution, but Senate Republican leaders have indicated an willingness to an emerging proposal from a small group of centrist lawmakers to terminate the closure in return for a future vote on the Obamacare subsidies.

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

Another leading Democratic senator continued in arguing that Republicans should agree to a 12-month continuation of the subsidies before negotiating the future of the subsidies.

"Inaction is irresponsible because citizens will go into debt, people will become uninsured, people will get more ill," the senator said in a floor speech. "That's what will happen if this Congress does nothing."

Partisan Situation

None of the Republican senators seemed to grapple with the fact that consumers would still need to buy plans from the same insurance companies, or that Republican legislators need the support of several Democrats to reopen the government, and the idea of repealing and replacing Obamacare with HSAs is unlikely to earn a solitary Democratic vote.

Some analysts suggested that the essence of such a proposal would remove the ACA's requirement that carriers cover individuals with existing health issues.

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

About the author

Gloria Hughes

A tech enthusiast exploring the intersection of innovation and everyday life.

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