American lawmakers are working through the weekend for the first time since the government shutdown began over a month ago, but hopes for a cross-party deal on how to resolve the impasse appeared to recede as GOP senators floated a proposal unacceptable to Democrats: eliminating the Affordable Care Act, called Obamacare.
Deepening Consequences of Federal Closure
The impact on US citizens from the lengthiest closure of the federal government in history deepened on Saturday, as federal workers went unpaid, carriers were compelled to cancel flights and Supplemental Nutrition Assistance Program benefits have been delayed for forty-two million Americans.
Trump's Plan from Florida Resort
As Saturday's meeting got under way, GOP senators embraced a proposal made on social media 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.
Republican Support
Several Republican senators welcomed the proposal, which is similar to a replacement for Obamacare proposed in 2017.
"We will replace this broken system with something that is actually better for the consumer," one senator said.
Another senator praised Trump's proposal on social media, and stood next to a giant blow-up of Trump's post as he addressed 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 Response
Democratic senators expressed concerned responses to Trump's plan.
"In other words, Donald Trump's 'concept of a plan' for health care is yet another cynical attempt to repeal Obamacare," one Democratic senator commented. "This is the same unsuccessful Republican plan that's been rejected by voters and Congress."
Another lawmaker responded to the criticism of carriers by posting: "Oh, Trump and the Republicans dislike how the big, bad insurance companies are overcharging Americans. Really? Then I applaud 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 emerging proposal from a handful of moderate Democrats to terminate the shutdown in return for a future vote on the ACA subsidies.
One Democratic senator, who is spearheading the talks among centrists, said that Democrats "require another way ahead" after Republicans rejected an offer to reopen the government and continue the subsidies for a year.
Another leading Democratic lawmaker continued in arguing that Republicans should agree to a one-year extension of the payments before discussing the future of the subsidies.
"Inaction is derelict because citizens will go bankrupt, people will lose insurance, people will get sicker," the senator said in a floor speech. "That's what will happen if this Congress fails to act."
Political Situation
None of the Republican senators seemed to grapple with the fact that consumers would still need to buy coverage from the same carriers, or that Republican legislators need the backing of several Democrats to restart the government, and the idea of eliminating and substituting Obamacare with HSAs is improbable to earn a solitary Democratic vote.
Some analysts indicated that the core of such a proposal would remove the ACA's mandate that carriers cover patients with pre-existing conditions.
After his resort visit, Trump went back to his private club and reiterated on his demand that Republicans stop seeking compromise and try instead to repeal and replace Obamacare with a iteration of the plan that failed to garner enough backing in 2017.