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

US lawmakers are meeting during 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 resolve the impasse appeared to recede as GOP senators proposed a plan unacceptable to Democrats: scrapping the ACA, known as Obamacare.

Growing Consequences of Government Shutdown

The effect on Americans from the lengthiest shutdown of the US government in history deepened on Saturday, as federal workers went unpaid, carriers were compelled to ground planes and Supplemental Nutrition Assistance Program benefits have been postponed for forty-two million Americans.

Trump's Proposal from Florida Resort

As weekend meeting got under way, Republican 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 health savings accounts.

"My recommendation is to Senate Republicans that the Hundreds of Billions of Dollars currently being sent to money sucking 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.

GOP Endorsement

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

"We're going to replace this broken system with something that is truly better for the patient," one senator stated.

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

"I'm writing the bill right now," a third senator posted in response to Trump's suggestion. "We must stop taxpayer money from going to insurance companies and instead give it straight to Americans in health savings accounts and let them buy the medical coverage they want."

Opposition Reaction

Democratic senators expressed alarmed reactions to Trump's plan.

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

Another senator responded to the censure of insurance companies by writing: "Well, Trump and the Republicans dislike how the big, bad insurance companies are overcharging Americans. Seriously? Then I applaud your support for Medicare for All."

Continuing Talks

The Senate adjourned 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 return for a later vote on the ACA payments.

One Democratic senator, who is leading the talks among moderates, said that Democrats "need another way ahead" after Republicans rejected an proposal to reopen the government and extend the payments for a year.

Another senior Democratic senator persisted in arguing that Republicans should accept a 12-month continuation of the subsidies before discussing the future of the subsidies.

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

Political Dynamics

None of the Republican senators seemed to address the fact that patients would still need to buy coverage from the same carriers, or that Republican lawmakers need the support of eight Democrats to reopen the government, and the concept of repealing and substituting Obamacare with HSAs is unlikely to earn a single Democratic vote.

Some observers indicated that the core of such a proposal would remove the ACA's mandate that insurance companies cover individuals with existing health issues.

After his resort visit, Trump returned to his private club and doubled down on his insistence that Republicans stop seeking compromise and try instead to repeal and replace Obamacare with a version of the proposal that was unsuccessful to garner enough support in 2017.

Jamie Kelly
Jamie Kelly

A seasoned casino analyst with over a decade of experience in roulette strategy development and global gaming trends.