American lawmakers are meeting during the weekend for the first time since the federal closure began more than a month ago, but expectations for a bipartisan agreement on how to end the impasse appeared to diminish as Republican senators floated a proposal unacceptable to Democrats: eliminating the Affordable Care Act, called Obamacare.
Growing Consequences of Government Shutdown
The impact on Americans from the longest shutdown of the US government in history worsened on Saturday, as federal workers went unpaid, carriers were compelled to cancel flights and Supplemental Nutrition Assistance Program benefits have been postponed for forty-two million Americans.
Trump's Proposal from Florida Resort
As Saturday's meeting got under way, GOP senators welcomed a suggestion made on online platforms early Saturday by Donald Trump from his resort in West Palm Beach, for government payments to be replaced by health savings accounts.
"My recommendation is to Senate Republicans that the 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.
GOP Endorsement
Several Republican senators welcomed the proposal, which is similar to a alternative for Obamacare proposed in 2017.
"We will replace this broken system with something that is truly better for the consumer," one senator said.
Another senator praised Trump's suggestion on social media, and displayed 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 must stop taxpayer money from going to carriers and instead give it directly to Americans in health savings accounts and let them buy the medical coverage they want."
Democratic Response
Democratic lawmakers shared concerned responses to Trump's plan.
"Essentially, Donald Trump's 'proposal' for health care is yet another calculated attempt to repeal Obamacare," one Democratic senator commented. "This is the same failed Republican plan that's been rejected by the public and Congress."
Another lawmaker responded 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 Medicare for All."
Continuing Talks
The Senate adjourned without finding a solution, but Senate Republican leaders have indicated an openness to an developing proposal from a handful of centrist lawmakers to terminate the shutdown in return for a future vote on the Obamacare payments.
One Democratic senator, who is leading the negotiations among moderates, said that Democrats "need another path forward" after Republicans turned down an offer to restart the government and extend the subsidies for a year.
Another leading Democratic senator persisted in maintaining that Republicans should agree to a one-year extension of the payments before negotiating the long-term of the subsidies.
"Doing nothing is derelict because citizens will go bankrupt, people will lose insurance, people will get more ill," the senator stated in a floor speech. "That is what will happen if this Congress fails to act."
Partisan Dynamics
None of the Republican senators seemed to address the fact that consumers would still need to buy plans from the same insurance companies, or that Republican legislators 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 single Democratic vote.
Some analysts suggested that the core of such a proposal would remove the ACA's requirement that insurance companies cover patients with existing health issues.
After his resort visit, Trump went back to his private club and doubled down on his insistence that Republicans stop seeking compromise and try instead to eliminate and replace Obamacare with a version of the proposal that failed to secure enough backing in 2017.