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Congressional Republicans Back President's Proposal to Overhaul Affordable Care Act

American senators 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 standoff appeared to recede as Republican senators floated a plan unacceptable to Democrats: scrapping the Affordable Care Act, called Obamacare.

Deepening Consequences of Government Shutdown

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

Trump's Plan from Florida Resort

As Saturday's meeting got under way, GOP senators embraced a proposal made on social media early Saturday by Donald Trump from his golf course in West Palm Beach, for subsidies 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 posted.

Republican Endorsement

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

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

Another senator praised Trump's proposal on online platforms, and stood next to a large print of Trump's post as he addressed on the Senate floor.

"I'm writing the bill right now," a third senator posted in response to Trump's proposal. "We need to stop public funds from going to insurance companies and instead give it directly to Americans in health savings accounts and let them buy the medical coverage they want."

Democratic Reaction

Democratic lawmakers expressed alarmed responses to Trump's proposal.

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

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

Continuing Talks

The Senate went into recess without finding a solution, but Senate Republican leaders have signaled an openness to an developing proposal from a small group of moderate Democrats to terminate the shutdown in exchange for a later 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 continue the payments 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 irresponsible because people will go into debt, people will become uninsured, people will get sicker," the senator said in a Senate address. "That is what will happen if this Congress fails to act."

Partisan Dynamics

None of the Republican senators seemed to address the fact that patients would still need to buy coverage from the same carriers, or that Republican legislators need the backing of several Democrats to reopen the government, and the idea of repealing and replacing Obamacare with HSAs is improbable to earn a single Democratic vote.

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

After his resort visit, Trump went back to his residence and doubled down on his demand that Republicans stop seeking agreement and try instead to eliminate and replace Obamacare with a iteration of the plan that failed to secure enough backing in 2017.

About the author

Keith Simon

Elena Voss is a productivity coach and software reviewer, specializing in time management tools and digital wellness strategies.

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