Senate Republicans Back Trump's Proposal 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 cross-party deal on how to resolve the impasse appeared to diminish as Republican senators proposed a proposal toxic to Democrats: eliminating the ACA, known as Obamacare.

Deepening Consequences of Federal Closure

The effect on Americans from the longest closure of the federal government in history deepened on Saturday, as government employees went unpaid, carriers were forced to ground planes and SNAP benefits have been delayed for 42 million Americans.

Trump's Proposal from Golf Course

As weekend meeting got under way, Republican 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 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 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

Multiple Republican senators welcomed the plan, which is comparable with a alternative for Obamacare put forward in 2017.

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

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

"I'm writing the bill right now," a third senator wrote in response to Trump's suggestion. "We need to stop taxpayer money from going to insurance companies and instead give it directly to Americans in health savings accounts and let them buy the health care they want."

Democratic Response

Democratic lawmakers expressed concerned reactions to Trump's plan.

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

Another senator responded to the censure of insurance companies by posting: "Oh, Trump and the Republicans dislike how the large insurance companies are ripping-off Americans. Seriously? Then I applaud your support for universal healthcare."

Continuing Negotiations

The Senate went into recess without reaching a solution, but Senate Republican leaders have signaled an willingness to an emerging plan from a handful of moderate Democrats to end the shutdown in return for a future vote on the Obamacare payments.

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

Another leading Democratic lawmaker continued in maintaining that Republicans should agree to a 12-month continuation of the subsidies before discussing the future of the tax credits.

"Inaction is irresponsible because citizens will go bankrupt, people will lose insurance, people will get sicker," the senator stated in a Senate address. "That's what will happen if this Congress fails to act."

Political Dynamics

Not one 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 backing of several Democrats to reopen the government, and the concept of repealing and substituting Obamacare with HSAs is improbable to earn a solitary Democratic vote.

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

After his golf outing, Trump returned to his private club and doubled down on his demand that Republicans stop seeking compromise and try instead to eliminate and overhaul Obamacare with a version of the proposal that failed to garner enough support in 2017.

Kevin Dunn
Kevin Dunn

Elara is a certified personal trainer and nutrition coach with over a decade of experience in helping clients transform their lives through fitness.