US lawmakers are working through the weekend for the initial time since the government shutdown began over a month ago, but expectations for a bipartisan agreement on how to resolve the impasse appeared to recede as GOP senators floated a plan unacceptable to Democrats: scrapping the ACA, known as Obamacare.
Deepening Impact of Government Shutdown
The impact on Americans from the lengthiest closure of the US government in history deepened on Saturday, as government employees went unpaid, carriers were forced to cancel flights and Supplemental Nutrition Assistance Program benefits have been delayed for forty-two million Americans.
Trump's Proposal from Florida Resort
As Saturday's meeting got started, GOP senators embraced a suggestion made on online platforms early Saturday by Donald Trump from his golf course in West Palm Beach, for subsidies to be substituted by HSA-style accounts.
"I am recommending to Senate Republicans that the Hundreds of Billions of Dollars currently being sent to profit-driven 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 Support
Several Republican senators welcomed the proposal, which is similar to a alternative for Obamacare proposed in 2017.
"We will replace this failing program with something that is truly better for the consumer," one senator said.
Another senator commended Trump's proposal on social media, and stood next to a large print 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 proposal. "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 lawmakers shared concerned reactions to Trump's proposal.
"Essentially, Donald Trump's 'concept of a plan' for health care is another calculated attempt to eliminate Obamacare," one Democratic senator commented. "This is the same unsuccessful Republican plan that's been defeated by voters and Congress."
Another senator reacted to the criticism of insurance companies by writing: "Oh, Trump and the Republicans can't stand how the big, bad insurance companies are ripping-off Americans. Seriously? In that case I applaud your support for universal healthcare."
Continuing Talks
The Senate went into recess without finding a solution, but Senate Republican leaders have signaled an openness to an emerging plan from a handful of moderate Democrats to terminate the shutdown in return for a future vote on the ACA subsidies.
One Democratic senator, who is leading the talks among moderates, said that Democrats "require another path forward" after Republicans turned down an proposal to reopen the government and extend the payments for a year.
Another leading Democratic lawmaker persisted in arguing that Republicans should agree to a 12-month continuation of the subsidies before discussing the future of the tax credits.
"Inaction is derelict because citizens will go bankrupt, people will become uninsured, people will get sicker," the senator stated in a Senate address. "That is what will happen if this Congress does nothing."
Political Dynamics
Not one of the Republican senators seemed to grapple with the fact that patients would still need to buy coverage from the same insurance companies, or that Republican lawmakers need the backing of eight Democrats to restart 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 carriers cover patients with pre-existing conditions.
After his golf outing, Trump went back to his private club and doubled down on his demand that Republicans stop seeking compromise and try instead to repeal and overhaul Obamacare with a iteration of the proposal that failed to garner enough backing in 2017.