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

American senators are working through the weekend for the first time since the federal closure began over a month ago, but hopes for a cross-party deal on how to end the standoff appeared to recede as Republican senators proposed a plan toxic to Democrats: scrapping the Affordable Care Act, called Obamacare.

Deepening Impact of Government Shutdown

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

Trump's Proposal from Golf Course

As weekend session got under way, GOP senators embraced a suggestion made on social media early Saturday by Donald Trump from his golf course in West Palm Beach, for government payments to be substituted by HSA-style 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 bad Healthcare provided by ObamaCare, BE SENT DIRECTLY TO THE PEOPLE SO THAT THEY CAN PURCHASE THEIR OWN, MUCH BETTER, HEALTHCARE," Trump posted.

GOP Endorsement

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

"We will replace this broken system with something that is actually better for the patient," one senator said.

Another senator commended Trump's proposal on online platforms, and displayed a large print of Trump's post as he spoke on the Senate floor.

"I'm writing the bill right now," a third senator wrote in reply to Trump's proposal. "We need to stop taxpayer money from going to carriers and instead give it straight to Americans in HSA-style accounts and let them buy the health care they want."

Democratic Reaction

Opposition senators expressed alarmed responses to Trump's proposal.

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

Another lawmaker reacted to the censure of carriers by writing: "Well, Trump and the Republicans can't stand how the large insurance companies are overcharging Americans. Really? In that case I applaud your support for universal healthcare."

Continuing Talks

The Senate adjourned without finding a solution, but Senate Republican leaders have signaled an willingness to an developing plan from a small group of centrist lawmakers to terminate the closure in return for a future vote on the ACA subsidies.

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

Another senior Democratic lawmaker persisted in arguing that Republicans should agree to a 12-month continuation of the payments before negotiating the future of the subsidies.

"Doing nothing is irresponsible because people will go into debt, people will become uninsured, people will get sicker," the senator stated in a Senate address. "That is what will happen if this Congress fails to act."

Political Dynamics

None of the Republican senators seemed to grapple with the fact that patients would still need to buy plans from the same carriers, or that Republican lawmakers need the support of eight Democrats to restart the government, and the idea of repealing and substituting Obamacare with savings accounts is unlikely to earn a solitary Democratic vote.

Several analysts indicated that the essence of such a plan would remove the ACA's mandate that insurance companies cover individuals with existing health issues.

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

About the author

Mary Thompson

Lena van der Meer is a tech journalist and digital strategist with over a decade of experience covering emerging technologies.

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