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Congressional GOP Back President's Proposal to Replace Affordable Care Act

American lawmakers are working through the weekend for the first time since the government shutdown began more than a month ago, but expectations for a bipartisan agreement on how to end the standoff appeared to diminish as GOP senators floated a proposal toxic to Democrats: scrapping the ACA, called Obamacare.

Deepening Impact of Government Shutdown

The effect on US citizens from the lengthiest shutdown of the US government in history deepened on Saturday, as government employees went unpaid, carriers were forced to cancel flights and Supplemental Nutrition Assistance Program benefits have been postponed for forty-two million Americans.

Trump's Plan from Florida Resort

As weekend session got under way, Republican senators welcomed a proposal made on social media early Saturday by Donald Trump from his golf course in West Palm Beach, for subsidies to be substituted 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.

Republican Endorsement

Several Republican senators praised the proposal, which is similar to a alternative for Obamacare put forward in 2017.

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

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 must stop public funds from going to insurance companies and instead give it straight to Americans in HSA-style accounts and let them buy the health care they want."

Opposition Response

Democratic lawmakers expressed concerned responses to Trump's proposal.

"Essentially, Donald Trump's 'proposal' for health care is another cynical attempt to eliminate Obamacare," one Democratic senator commented. "It's the same unsuccessful Republican plan that's been rejected by voters and Congress."

Another senator responded to the criticism of insurance companies by posting: "Oh, Trump and the Republicans can't stand how the large insurance companies are overcharging Americans. Seriously? In that case I applaud your support for Medicare for All."

Ongoing Negotiations

The Senate went into recess without reaching a resolution, but Senate Republican leaders have signaled an willingness to an developing plan from a small group of centrist lawmakers to end the shutdown in return for a later vote on the Obamacare subsidies.

One Democratic senator, who is leading the negotiations among moderates, said that Democrats "need another way ahead" after Republicans rejected an offer to restart the government and continue the payments for a year.

Another leading Democratic lawmaker continued in maintaining that Republicans should accept a one-year extension of the payments before negotiating the future of the tax credits.

"Doing nothing is irresponsible because citizens will go into debt, people will lose insurance, people will get more ill," the senator said in a Senate address. "That is what will happen if this Congress does nothing."

Political Dynamics

Not one 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 support of several Democrats to reopen the government, and the idea of eliminating and replacing Obamacare with HSAs is improbable to earn a single Democratic vote.

Several observers indicated that the essence of such a plan would remove the ACA's requirement that carriers cover patients with pre-existing conditions.

After his golf outing, Trump returned to his residence and doubled down on his demand that Republicans stop seeking agreement and try instead to eliminate and overhaul Obamacare with a iteration of the plan that was unsuccessful to garner enough backing in 2017.

By

Teresa Frazier

Elena is a passionate writer and innovation consultant with over a decade of experience in fostering creative thinking and digital transformation.

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