Congressional GOP Embrace Trump's Call to Overhaul Affordable Care Act

US senators are working through 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 standoff appeared to recede as GOP senators floated a proposal unacceptable to Democrats: scrapping the ACA, known as Obamacare.

Deepening Consequences of Federal Closure

The impact on Americans from the longest closure of the federal government in history worsened on Saturday, as government employees went unpaid, airlines were forced to ground planes and Supplemental Nutrition Assistance Program benefits have been delayed for 42 million Americans.

President's Plan from Florida Resort

As Saturday's session got under way, Republican senators welcomed a proposal made on social media early Saturday by Donald Trump from his resort in West Palm Beach, for subsidies to be substituted by HSA-style accounts.

"I am recommending to Senate Republicans that the Billions of Dollars currently being sent to profit-driven 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 posted.

GOP Endorsement

Multiple Republican senators welcomed the plan, 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 stated.

Another senator commended Trump's proposal 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 must stop public funds 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 shared alarmed reactions to Trump's proposal.

"In other words, Donald Trump's 'proposal' for health care is yet another cynical attempt to eliminate Obamacare," one Democratic senator stated. "This is the same unsuccessful Republican plan that's been defeated by voters and Congress."

Another senator responded to the criticism of insurance companies by posting: "Oh, Trump and the Republicans can't stand how the big, bad insurance companies are ripping-off Americans. Really? In that case I welcome your support for universal healthcare."

Continuing Talks

The Senate went into recess without finding a solution, but Senate Republican leaders have indicated an openness to an emerging proposal from a handful of centrist lawmakers to terminate the closure in return for a future vote on the ACA subsidies.

One Democratic senator, who is spearheading the negotiations among centrists, said that Democrats "need another way ahead" after Republicans turned down an offer to reopen the government and continue the payments for a year.

Another senior Democratic lawmaker persisted in arguing that Republicans should accept a one-year extension of the payments before discussing the long-term of the subsidies.

"Inaction is derelict because citizens will go into debt, people will become uninsured, people will get more ill," the senator said in a Senate address. "That's 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 lawmakers need the backing of several Democrats to restart the government, and the concept of eliminating and replacing Obamacare with savings accounts is unlikely to earn a single Democratic vote.

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

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

Edward Crane
Edward Crane

Elara Vance is a digital strategist and creative director with over a decade of experience in transforming brands through innovative design and technology.