Senate GOP Embrace President's Proposal to Overhaul Affordable Care Act

American senators are meeting during the weekend for the initial time since the government shutdown began more than a month ago, but hopes for a cross-party deal on how to end the standoff appeared to recede as GOP senators proposed a plan toxic to Democrats: eliminating the Affordable Care Act, called Obamacare.

Deepening Consequences of Government Shutdown

The effect on US citizens from the lengthiest shutdown of the federal government in history deepened on Saturday, as federal workers went without pay, carriers were forced to ground planes and Supplemental Nutrition Assistance Program benefits have been postponed for 42 million Americans.

President's Plan from Florida Resort

As Saturday's meeting got started, GOP senators welcomed a suggestion made on social media early Saturday by Donald Trump from his resort in West Palm Beach, for government payments to be replaced by health savings accounts.

"My recommendation is to Senate Republicans that the 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 wrote.

Republican Support

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

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

Another senator praised Trump's proposal on social media, and displayed 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 proposal. "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

Opposition lawmakers expressed concerned reactions to Trump's proposal.

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

Another senator responded to the censure of insurance companies by writing: "Well, Trump and the Republicans can't stand how the large insurance companies are overcharging Americans. Really? In that case I welcome your support for Medicare for All."

Ongoing Talks

The Senate went into recess without reaching a resolution, but Senate Republican leaders have signaled an openness to an developing plan from a handful of moderate Democrats to end the closure in return for a later vote on the ACA payments.

One Democratic senator, who is leading the negotiations among centrists, said that Democrats "require another way ahead" after Republicans turned down an proposal to reopen the government and extend the subsidies for a year.

Another senior Democratic senator continued in maintaining that Republicans should agree to a 12-month continuation of the subsidies before discussing the long-term of the tax credits.

"Inaction is derelict because people will go bankrupt, people will become uninsured, 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 address the fact that patients would still need to buy plans from the same carriers, or that Republican lawmakers need the support of several Democrats to reopen the government, and the concept of repealing and replacing Obamacare with HSAs is improbable to earn a single Democratic vote.

Several observers suggested that the essence of such a proposal would eliminate the ACA's requirement that carriers cover individuals with existing health issues.

After his golf outing, Trump returned to his residence and doubled down on his demand that Republicans stop seeking agreement and try instead to repeal and replace Obamacare with a version of the proposal that failed to garner enough backing in 2017.

Charles Wolf
Charles Wolf

Elara Vance is a community strategist and innovation consultant with over a decade of experience in building global networks and fostering collaborative ecosystems.