American senators are meeting during the weekend for the initial time since the government shutdown began more than a month ago, but expectations for a cross-party deal on how to end the impasse appeared to recede as Republican senators proposed a plan unacceptable to Democrats: eliminating the ACA, called Obamacare.
Deepening Impact of Federal Closure
The impact on Americans from the lengthiest shutdown of the US government in history worsened on Saturday, as federal workers went unpaid, carriers were forced to cancel flights and Supplemental Nutrition Assistance Program benefits have been delayed for 42 million Americans.
Trump's Proposal from Golf Course
As Saturday's meeting got under way, GOP senators embraced a suggestion made on social media early Saturday by Donald Trump from his resort in West Palm Beach, for subsidies to be substituted by health savings 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.
GOP Endorsement
Several Republican senators welcomed 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 consumer," one senator said.
Another senator commended Trump's proposal on online platforms, and stood next to a giant blow-up of Trump's post as he addressed on the Senate floor.
"I am drafting the bill right now," a third senator wrote 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 health savings accounts and let them buy the medical coverage they want."
Democratic Reaction
Democratic lawmakers expressed concerned reactions 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 failed Republican plan that's been defeated by voters and Congress."
Another lawmaker reacted to the criticism of insurance companies by writing: "Oh, Trump and the Republicans can't stand how the large insurance companies are ripping-off 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 openness to an developing plan from a small group of centrist lawmakers to end the shutdown in exchange for a later vote on the Obamacare subsidies.
One Democratic senator, who is leading the negotiations among centrists, said that Democrats "need another path forward" after Republicans turned down an offer to reopen the government and continue the subsidies for a year.
Another senior Democratic lawmaker continued in arguing that Republicans should accept a 12-month continuation of the payments before negotiating the long-term of the subsidies.
"Inaction is derelict because citizens will go bankrupt, people will become uninsured, people will get more ill," the senator stated in a floor speech. "That is what will happen if this Congress fails to act."
Partisan 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 backing of several Democrats to reopen the government, and the concept of eliminating and replacing Obamacare with savings accounts is improbable to earn a solitary Democratic vote.
Some analysts suggested that the essence of such a proposal would eliminate the ACA's requirement that carriers cover individuals with pre-existing conditions.
After his golf outing, Trump returned to his residence and reiterated on his insistence that Republicans stop seeking compromise and try instead to repeal and overhaul Obamacare with a iteration of the plan that was unsuccessful to garner enough backing in 2017.