American senators are meeting during the weekend for the initial time since the federal closure began more than a month ago, but hopes for a cross-party deal on how to end the impasse appeared to diminish as Republican senators proposed a proposal unacceptable to Democrats: eliminating the ACA, known as Obamacare.
Deepening Consequences of Government Shutdown
The impact on US citizens from the longest shutdown of the US government in history worsened on Saturday, as federal workers went without pay, airlines were forced to cancel flights and SNAP benefits have been delayed for 42 million Americans.
President's Proposal from Golf Course
As weekend meeting got started, GOP senators embraced a proposal made on online platforms early Saturday by Donald Trump from his resort in West Palm Beach, for subsidies to be substituted by health savings accounts.
"My recommendation is 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 wrote.
Republican Endorsement
Several Republican senators welcomed the proposal, which is similar to a replacement for Obamacare proposed in 2017.
"We will replace this failing program with something that is actually better for the patient," one senator said.
Another senator praised Trump's proposal on social media, and displayed a giant blow-up of Trump's post as he spoke on the Senate floor.
"I am drafting the bill right now," a third senator posted in reply to Trump's proposal. "We need to stop public funds from going to carriers and instead give it directly to Americans in health savings 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 'proposal' for health care is yet another calculated attempt to eliminate Obamacare," one Democratic senator stated. "It's the same unsuccessful Republican plan that's been rejected by the public and Congress."
Another senator reacted to the criticism of insurance companies by writing: "Well, Trump and the Republicans can't stand how the big, bad insurance companies are ripping-off Americans. Really? Then I welcome your support for universal healthcare."
Ongoing Talks
The Senate went into recess without reaching a solution, but Senate Republican leaders have signaled an willingness to an emerging proposal from a small group of centrist lawmakers to end the shutdown in exchange for a later vote on the ACA subsidies.
One Democratic senator, who is spearheading the talks among moderates, said that Democrats "need another path forward" after Republicans turned down an proposal to reopen the government and continue the subsidies for a year.
Another leading Democratic lawmaker persisted in arguing that Republicans should agree to a 12-month continuation of the payments before discussing the future of the subsidies.
"Doing nothing is irresponsible because citizens will go into debt, people will become uninsured, people will get more ill," the senator said in a floor speech. "That's 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 plans from the same insurance companies, or that Republican lawmakers need the support of several Democrats to reopen the government, and the idea of repealing and replacing Obamacare with HSAs is unlikely to earn a solitary Democratic vote.
Several observers indicated that the core of such a proposal would eliminate the ACA's mandate that carriers cover patients with existing health issues.
After his golf outing, Trump returned to his residence and doubled down on his demand that Republicans stop seeking compromise and try instead to repeal and replace Obamacare with a version of the proposal that was unsuccessful to secure enough backing in 2017.