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Congressional Republicans Support Trump's Call to Overhaul Affordable Care Act

US senators are meeting during the weekend for the initial time since the government shutdown began more than a month ago, but hopes for a bipartisan agreement on how to resolve the standoff appeared to recede as Republican senators proposed a proposal unacceptable to Democrats: scrapping the ACA, called Obamacare.

Deepening Consequences of Government Shutdown

The impact on US citizens from the longest closure of the US government in history worsened on Saturday, as federal workers went unpaid, airlines were forced to ground planes and SNAP benefits have been delayed for 42 million Americans.

President's Proposal from Golf Course

As weekend session got started, Republican senators embraced a suggestion made on online platforms early Saturday by Donald Trump from his resort in West Palm Beach, for government payments to be substituted by health savings 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 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

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

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

Another senator praised 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 posted in response 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 Response

Opposition senators expressed concerned reactions to Trump's proposal.

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

Another lawmaker responded to the criticism of insurance companies by writing: "Oh, Trump and the Republicans can't stand how the big, bad insurance companies are overcharging Americans. Really? In that case I applaud your support for Medicare for All."

Ongoing Negotiations

The Senate went into recess without reaching a solution, but Senate Republican leaders have signaled an openness to an emerging proposal from a handful of centrist lawmakers to end the shutdown in return for a future vote on the ACA subsidies.

One Democratic senator, who is leading the negotiations among moderates, said that Democrats "require another path forward" after Republicans rejected an offer to reopen the government and continue the subsidies for a year.

Another leading Democratic senator persisted in maintaining that Republicans should agree to a one-year extension of the subsidies before negotiating the future of the subsidies.

"Doing nothing is derelict because citizens will go into debt, people will lose insurance, people will get more ill," the senator stated in a floor speech. "That is what will happen if this Congress does nothing."

Political Dynamics

None of the Republican senators seemed to grapple with the fact that patients would still need to buy coverage from the same carriers, or that Republican lawmakers need the backing of several Democrats to restart the government, and the concept of repealing and substituting Obamacare with HSAs is improbable to earn a single Democratic vote.

Several analysts suggested that the essence of such a plan 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 support in 2017.

About the author

Benjamin Hall

A tech entrepreneur and digital strategist with over 15 years of experience in helping startups scale through innovative solutions.

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