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Senate Republicans Embrace Trump's Call to Replace Affordable Care Act

American lawmakers are meeting during the weekend for the first time since the government shutdown began more than a month ago, but hopes for a cross-party deal on how to resolve the impasse appeared to recede as Republican senators proposed a plan unacceptable to Democrats: eliminating the Affordable Care Act, known as Obamacare.

Deepening Consequences of Government Shutdown

The effect on Americans from the longest shutdown of the US government in history deepened on Saturday, as federal workers went without pay, airlines were forced to cancel flights and SNAP benefits have been postponed for 42 million Americans.

Trump's Plan from Florida Resort

As Saturday's meeting got started, GOP senators welcomed a suggestion made on social media early Saturday by Donald Trump from his resort in West Palm Beach, for government payments to be replaced by HSA-style 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 ineffective Healthcare provided by ObamaCare, BE SENT DIRECTLY TO THE PEOPLE SO THAT THEY CAN PURCHASE THEIR OWN, MUCH BETTER, HEALTHCARE," Trump posted.

GOP Endorsement

Several Republican senators welcomed the proposal, which is comparable with a replacement for Obamacare proposed in 2017.

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

Another senator commended Trump's proposal on online platforms, and displayed a large print of Trump's post as he spoke on the Senate floor.

"I am drafting the bill right now," a third senator wrote in response to Trump's suggestion. "We need to stop taxpayer money from going to insurance companies and instead give it directly to Americans in health savings accounts and let them buy the health care they want."

Opposition Reaction

Opposition lawmakers expressed alarmed responses to Trump's proposal.

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

Another lawmaker responded to the censure of carriers by writing: "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."

Ongoing Talks

The Senate adjourned without finding a resolution, but Senate Republican leaders have indicated an openness to an emerging plan from a small group of centrist lawmakers to terminate the shutdown in exchange for a future vote on the ACA payments.

One Democratic senator, who is leading the negotiations among centrists, said that Democrats "require another way ahead" after Republicans rejected an proposal to reopen the government and continue the subsidies for a year.

Another senior Democratic senator continued in maintaining that Republicans should accept a one-year extension of the payments before negotiating the long-term of the subsidies.

"Inaction is irresponsible because people will go into debt, people will become uninsured, people will get sicker," the senator stated in a floor speech. "That is what will happen if this Congress fails to act."

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 legislators need the support of eight Democrats to reopen the government, and the idea of eliminating and replacing Obamacare with HSAs is unlikely to earn a single Democratic vote.

Some analysts indicated that the core of such a proposal would remove the ACA's mandate that carriers cover individuals with pre-existing conditions.

After his resort visit, Trump returned to his residence and reiterated on his demand that Republicans stop seeking agreement and try instead to eliminate and replace Obamacare with a version of the plan that failed to secure enough backing in 2017.

SO
Written by

Sherry Olson

An astrophysicist and science communicator with over a decade of experience in space research and public outreach.

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