Congressional GOP Embrace Trump's Proposal to Overhaul Affordable Care Act

US lawmakers are working through the weekend for the initial time since the federal closure began more than a month ago, but expectations for a cross-party deal on how to resolve the impasse appeared to diminish as Republican senators floated a proposal toxic to Democrats: eliminating the Affordable Care Act, called Obamacare.

Deepening Impact of Federal Closure

The impact on US citizens from the lengthiest shutdown of the US government in history deepened on Saturday, as federal workers went unpaid, airlines were forced to ground planes and SNAP benefits have been delayed for forty-two million Americans.

President's Proposal from Florida Resort

As weekend session got started, GOP senators welcomed a proposal made on social media early Saturday by Donald Trump from his resort in West Palm Beach, for subsidies to be replaced by HSA-style accounts.

"I am recommending 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 Endorsement

Several Republican senators welcomed the proposal, which is similar to a alternative for Obamacare proposed in 2017.

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

Another senator praised Trump's suggestion on social media, 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 response to Trump's suggestion. "We need to stop taxpayer money from going to insurance companies and instead give it straight to Americans in HSA-style accounts and let them buy the medical coverage they want."

Opposition Response

Democratic senators shared alarmed reactions to Trump's proposal.

"In other words, Donald Trump's 'concept of a plan' for health care is another cynical attempt to repeal Obamacare," one Democratic senator stated. "This is the same failed Republican plan that's been defeated by voters and Congress."

Another senator reacted to the criticism of insurance companies by posting: "Oh, Trump and the Republicans can't stand how the big, bad insurance companies are ripping-off Americans. Really? In that case I welcome your support for Medicare for All."

Continuing Negotiations

The Senate adjourned without finding a solution, but Senate Republican leaders have signaled an willingness to an developing plan from a handful of centrist lawmakers to end the closure in exchange for a later vote on the Obamacare subsidies.

One Democratic senator, who is spearheading the talks among centrists, said that Democrats "require another path forward" after Republicans turned down an proposal to reopen the government and continue the subsidies for a year.

Another leading Democratic lawmaker persisted in maintaining that Republicans should accept a 12-month continuation of the subsidies before discussing the future of the subsidies.

"Doing nothing is derelict because people 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."

Political Dynamics

Not one of the Republican senators seemed to address the fact that patients would still need to buy plans from the same insurance companies, or that Republican legislators need the support of eight Democrats to reopen the government, and the concept of repealing and substituting Obamacare with savings accounts is improbable to earn a solitary Democratic vote.

Some observers suggested that the core of such a plan would eliminate the ACA's mandate that insurance companies cover individuals with pre-existing conditions.

After his golf outing, Trump went back to his residence and doubled down on his demand that Republicans stop seeking compromise and try instead to repeal and replace Obamacare with a version of the proposal that was unsuccessful to secure enough support in 2017.

Miranda Young
Miranda Young

A cultural anthropologist and writer passionate about documenting societal changes and their impact on everyday life.