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

US senators are meeting during the weekend for the initial time since the government shutdown began over a month ago, but hopes for a bipartisan agreement on how to resolve the standoff appeared to diminish as GOP senators proposed a plan toxic to Democrats: eliminating the ACA, known as Obamacare.

Deepening Consequences of Government Shutdown

The effect on US citizens from the longest shutdown of the federal government in history deepened on Saturday, as government employees went without pay, carriers were compelled to cancel flights and Supplemental Nutrition Assistance Program benefits have been postponed for 42 million Americans.

Trump's Proposal from Golf Course

As Saturday's session got under way, Republican senators embraced a suggestion made on social media 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 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

Several Republican senators praised the proposal, which is comparable with a replacement for Obamacare put forward 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 suggestion on social media, and stood next to 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 response to Trump's proposal. "We need to stop taxpayer money from going to carriers and instead give it directly to Americans in health savings accounts and let them buy the health care they want."

Opposition Reaction

Democratic lawmakers expressed concerned reactions to Trump's proposal.

"Essentially, Donald Trump's 'concept of a plan' for health care is yet another cynical attempt to eliminate Obamacare," one Democratic senator stated. "It's the same failed Republican plan that's been defeated by the public and Congress."

Another senator responded to the censure of insurance companies by posting: "Oh, Trump and the Republicans can't stand how the big, bad insurance companies are overcharging Americans. Really? Then I welcome your support for universal healthcare."

Ongoing Talks

The Senate adjourned without finding a resolution, but Senate Republican leaders have signaled an willingness to an developing proposal from a handful of centrist lawmakers to terminate the shutdown in return for a later vote on the Obamacare subsidies.

One Democratic senator, who is spearheading the talks among moderates, said that Democrats "require another path forward" after Republicans rejected an offer to restart the government and continue the payments for a year.

Another leading Democratic lawmaker persisted in maintaining that Republicans should agree to a one-year extension of the subsidies before discussing the long-term of the subsidies.

"Doing nothing is derelict because people will go bankrupt, people will lose insurance, people will get more ill," the senator said in a Senate address. "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 plans from the same carriers, or that Republican legislators need the support of several Democrats to restart the government, and the idea of eliminating and replacing Obamacare with HSAs is improbable to earn a single Democratic vote.

Several observers suggested that the essence of such a plan would remove the ACA's mandate that insurance companies cover patients with existing health issues.

After his resort visit, Trump went back to his residence and reiterated on his demand that Republicans stop seeking agreement and try instead to eliminate and replace Obamacare with a version of the proposal that failed to garner enough support in 2017.

Leonard Cook II
Leonard Cook II

Elena is a certified running coach and marathon specialist who shares evidence-based training tips and community stories.