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Senate Republicans Support Trump's Proposal to Overhaul Affordable Care Act

American senators are meeting during 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 resolve the standoff appeared to recede as GOP senators floated a proposal toxic to Democrats: eliminating the ACA, known as Obamacare.

Growing Impact of Federal Closure

The impact on Americans from the longest closure of the federal government in history worsened on Saturday, as federal workers went without pay, airlines were compelled to cancel flights and Supplemental Nutrition Assistance Program benefits have been postponed for 42 million Americans.

Trump's Plan from Florida Resort

As Saturday's session got started, Republican senators embraced a suggestion made on social media early Saturday by Donald Trump from his golf course in West Palm Beach, for subsidies to be replaced by health savings accounts.

"I am recommending to Senate Republicans that the Billions of Dollars currently being sent to money sucking Insurance Companies in order to save the bad Healthcare provided by ObamaCare, BE SENT DIRECTLY TO THE PEOPLE SO THAT THEY CAN PURCHASE THEIR OWN, MUCH BETTER, HEALTHCARE," Trump wrote.

Republican Endorsement

Multiple Republican senators welcomed the proposal, which is comparable with a replacement for Obamacare proposed in 2017.

"We will replace this failing program with something that is truly better for the patient," one senator stated.

Another senator praised Trump's suggestion on social media, and displayed a large print of Trump's post as he addressed 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 carriers and instead give it directly to Americans in HSA-style accounts and let them buy the medical coverage they want."

Opposition Reaction

Opposition lawmakers shared alarmed responses to Trump's plan.

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

Another lawmaker reacted to the criticism of carriers by writing: "Well, Trump and the Republicans dislike how the big, bad insurance companies are ripping-off Americans. Seriously? In that case I welcome your support for Medicare for All."

Ongoing Talks

The Senate went into recess without finding a resolution, but Senate Republican leaders have indicated an willingness to an emerging plan from a handful of moderate Democrats to terminate the closure 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 rejected an offer to reopen the government and continue the subsidies for a year.

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

"Doing nothing is derelict because citizens will go bankrupt, people will become uninsured, people will get more ill," the senator said in a Senate address. "That's 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 legislators need the support of several Democrats to reopen the government, and the concept of repealing and substituting Obamacare with savings accounts is improbable to earn a single Democratic vote.

Some observers suggested that the essence of such a plan 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 eliminate and replace Obamacare with a version of the plan that was unsuccessful to secure enough support in 2017.

The writer

Emily Peterson

Energy systems expert and advocate for sustainable technology with over a decade of research in grid-scale storage.

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