American lawmakers 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 end the standoff appeared to recede as Republican senators proposed a plan toxic to Democrats: eliminating the Affordable Care Act, called Obamacare.
Growing Consequences of Government Shutdown
The impact on US citizens from the longest closure of the federal government in history worsened on Saturday, as federal workers went unpaid, airlines were compelled to cancel flights and SNAP benefits have been postponed for forty-two million Americans.
Trump's Plan from Florida Resort
As Saturday's meeting got under way, Republican senators embraced a suggestion made on online platforms early Saturday by Donald Trump from his golf course 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 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 posted.
GOP Endorsement
Several Republican senators praised the plan, which is comparable with a replacement for Obamacare put forward 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 proposal on online platforms, and stood next to a large print 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 suggestion. "We must stop public funds from going to insurance companies and instead give it directly to Americans in health savings accounts and let them buy the medical coverage they want."
Opposition Reaction
Opposition lawmakers shared concerned responses to Trump's proposal.
"In other words, Donald Trump's 'concept of a plan' for health care is yet another cynical attempt to eliminate Obamacare," one Democratic senator stated. "It's the same unsuccessful Republican plan that's been defeated by voters and Congress."
Another senator reacted to the censure of insurance companies by posting: "Oh, Trump and the Republicans can't stand how the big, bad insurance companies are ripping-off Americans. Seriously? 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 openness to an developing plan from a handful of moderate Democrats to end the closure in return for a future vote on the ACA payments.
One Democratic senator, who is spearheading the negotiations among centrists, said that Democrats "need another path forward" after Republicans turned down an proposal to restart the government and extend the payments for a year.
Another leading Democratic senator persisted in arguing that Republicans should accept a 12-month continuation of the payments before negotiating the future of the tax credits.
"Inaction is irresponsible because citizens will go bankrupt, people will lose insurance, people will get sicker," the senator said in a floor speech. "That is what will happen if this Congress fails to act."
Partisan Dynamics
None of the Republican senators seemed to grapple with the fact that patients would still need to buy plans from the same insurance companies, or that Republican lawmakers need the backing of eight Democrats to restart the government, and the concept of eliminating and substituting Obamacare with HSAs is unlikely to earn a single Democratic vote.
Several analysts suggested that the core of such a proposal would eliminate the ACA's requirement that insurance companies cover individuals with existing health issues.
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 overhaul Obamacare with a version of the proposal that was unsuccessful to secure enough support in 2017.