American senators are meeting during the weekend for the first time since the government shutdown began more than a month ago, but expectations for a cross-party deal on how to resolve the impasse appeared to recede as GOP senators floated a proposal toxic to Democrats: scrapping the Affordable Care Act, known as Obamacare.
Deepening Consequences of Government Shutdown
The effect on US citizens from the lengthiest closure of the US government in history deepened 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 Proposal from Florida Resort
As weekend meeting got under way, GOP senators welcomed a proposal made on social media early Saturday by Donald Trump from his resort in West Palm Beach, for subsidies to be substituted by health savings accounts.
"My recommendation is to Senate Republicans that the 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 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 suggestion on online platforms, and stood next to 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 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."
Democratic Reaction
Opposition senators shared alarmed responses to Trump's proposal.
"Essentially, Donald Trump's 'proposal' for health care is another calculated attempt to eliminate Obamacare," one Democratic senator commented. "It's the same failed Republican plan that's been defeated by the public and Congress."
Another lawmaker responded to the censure of insurance companies by writing: "Well, Trump and the Republicans dislike how the large insurance companies are overcharging Americans. Really? In that case I welcome your support for Medicare for All."
Continuing Negotiations
The Senate went into recess without finding a solution, but Senate Republican leaders have signaled an willingness to an emerging plan from a small group of centrist lawmakers to end the closure in return for a later vote on the ACA payments.
One Democratic senator, who is leading the talks among centrists, said that Democrats "need another way ahead" after Republicans turned down an offer to restart the government and continue the subsidies for a year.
Another senior Democratic lawmaker persisted in arguing that Republicans should agree to a 12-month continuation of the subsidies before negotiating the long-term 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 Senate address. "That's what will happen if this Congress fails to act."
Political Situation
None of the Republican senators seemed to address the fact that patients would still need to buy plans from the same carriers, or that Republican legislators need the backing of eight Democrats to reopen the government, and the concept of repealing and replacing Obamacare with savings accounts is unlikely to earn a single Democratic vote.
Some observers suggested that the core of such a proposal would remove the ACA's requirement that carriers cover patients with existing health issues.
After his resort visit, Trump returned to his residence and doubled down on his demand that Republicans stop seeking compromise and try instead to eliminate and overhaul Obamacare with a iteration of the plan that was unsuccessful to secure enough support in 2017.