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Senate Republicans Back President's Call to Replace Affordable Care Act

US senators are working through the weekend for the initial time since the federal closure began more than a month ago, but expectations for a bipartisan agreement on how to resolve the impasse appeared to recede as GOP senators proposed a proposal unacceptable to Democrats: eliminating the ACA, called Obamacare.

Growing Consequences of Government Shutdown

The impact on US citizens from the longest shutdown of the US government in history deepened on Saturday, as federal workers went unpaid, airlines were compelled to cancel flights and Supplemental Nutrition Assistance Program benefits have been postponed for 42 million Americans.

President's Plan from Golf Course

As weekend session got started, GOP senators welcomed a proposal made on online platforms early Saturday by Donald Trump from his resort in West Palm Beach, for government payments to be replaced by HSA-style 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 bad 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 praised the proposal, which is comparable with a alternative for Obamacare proposed in 2017.

"We're going to 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 large print of Trump's post as he addressed on the Senate floor.

"I am drafting the bill right now," a third senator wrote in reply to Trump's suggestion. "We need to stop public funds from going to carriers and instead give it directly to Americans in HSA-style accounts and let them buy the medical coverage they want."

Opposition Reaction

Opposition senators shared alarmed reactions to Trump's plan.

"In other words, Donald Trump's 'proposal' 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 the public and Congress."

Another senator reacted to the censure of insurance companies by posting: "Well, Trump and the Republicans dislike how the big, bad insurance companies are ripping-off Americans. Seriously? In that case I applaud your support for Medicare for All."

Ongoing Negotiations

The Senate adjourned without reaching a solution, but Senate Republican leaders have signaled an willingness to an emerging plan from a handful of centrist lawmakers to end the shutdown in exchange for a later vote on the ACA subsidies.

One Democratic senator, who is leading the talks among centrists, said that Democrats "require another path forward" after Republicans turned down an proposal to restart the government and continue the subsidies for a year.

Another senior Democratic lawmaker persisted in maintaining that Republicans should accept a 12-month continuation of the payments before negotiating the future of the subsidies.

"Inaction is irresponsible because citizens will go into debt, people will become uninsured, people will get sicker," the senator stated in a floor speech. "That is what will happen if this Congress does nothing."

Partisan 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 support of eight Democrats to restart the government, and the idea of repealing and substituting Obamacare with HSAs is unlikely to earn a single Democratic vote.

Some analysts indicated that the core of such a plan would remove the ACA's mandate that insurance companies cover patients with pre-existing conditions.

After his golf outing, Trump went back to his private club and reiterated on his demand that Republicans stop seeking compromise and try instead to repeal and replace Obamacare with a iteration of the plan that failed to secure enough support in 2017.

About the author

Andrew Willis

Lena is een interieurontwerper en schrijver met een passie voor functionele en esthetische werkruimtes.

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