American senators are working through the weekend for the initial time since the government shutdown began over a month ago, but expectations for a bipartisan agreement on how to end the impasse appeared to recede as Republican senators floated a proposal toxic to Democrats: scrapping the ACA, known as Obamacare.
Growing Impact of Government Shutdown
The impact on US citizens from the lengthiest closure of the US government in history worsened on Saturday, as federal workers went unpaid, carriers were forced to ground planes and Supplemental Nutrition Assistance Program benefits have been delayed for forty-two million Americans.
President's Plan from Golf Course
As Saturday's meeting got under way, Republican senators welcomed a proposal made on online platforms early Saturday by Donald Trump from his golf course in West Palm Beach, for subsidies to be substituted by HSA-style accounts.
"My recommendation is to Senate Republicans that the 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 wrote.
Republican Support
Several Republican senators welcomed the plan, which is comparable with a alternative for Obamacare put forward in 2017.
"We will replace this broken system with something that is truly better for the patient," one senator said.
Another senator praised Trump's suggestion on online platforms, and displayed a giant blow-up of Trump's post as he spoke on the Senate floor.
"I am drafting the bill right now," a third senator posted in reply to Trump's suggestion. "We need to stop taxpayer money from going to insurance companies and instead give it directly to Americans in HSA-style accounts and let them buy the medical coverage they want."
Opposition Response
Democratic lawmakers expressed concerned responses to Trump's plan.
"Essentially, Donald Trump's 'concept of a plan' for health care is yet another calculated attempt to eliminate Obamacare," one Democratic senator commented. "This is the same failed Republican plan that's been defeated by the public and Congress."
Another lawmaker reacted to the censure of insurance companies by writing: "Oh, Trump and the Republicans dislike how the large insurance companies are ripping-off Americans. Seriously? In that case I welcome your support for universal healthcare."
Continuing Talks
The Senate went into recess without reaching a solution, but Senate Republican leaders have indicated an willingness to an emerging proposal from a handful of moderate Democrats to terminate the shutdown in return for a later vote on the ACA subsidies.
One Democratic senator, who is spearheading the talks among moderates, said that Democrats "require another path forward" after Republicans rejected an proposal to reopen the government and extend the subsidies for a year.
Another senior Democratic lawmaker persisted in arguing that Republicans should accept a one-year extension of the payments before discussing the long-term of the tax credits.
"Doing nothing is irresponsible because citizens will go into debt, people will become uninsured, people will get sicker," the senator stated in a Senate address. "That is what will happen if this Congress does nothing."
Partisan Dynamics
Not one of the Republican senators seemed to address the fact that consumers would still need to buy plans from the same insurance companies, or that Republican legislators need the backing of several Democrats to restart the government, and the concept of eliminating and substituting Obamacare with HSAs is unlikely to earn a single Democratic vote.
Some observers indicated that the essence of such a proposal would remove the ACA's requirement that carriers cover individuals with pre-existing conditions.
After his golf outing, Trump went back to his private club and reiterated on his insistence that Republicans stop seeking agreement and try instead to repeal and overhaul Obamacare with a version of the plan that was unsuccessful to secure enough support in 2017.