American lawmakers are working through the weekend for the first time since the federal closure began more than a month ago, but hopes for a cross-party deal on how to resolve the impasse appeared to diminish as GOP senators proposed a plan toxic to Democrats: eliminating the ACA, called Obamacare.
Deepening Impact of Government Shutdown
The effect on US citizens from the lengthiest closure of the US government in history deepened on Saturday, as government employees went without pay, airlines were compelled to cancel flights and SNAP benefits have been postponed for 42 million Americans.
President's Plan from Golf Course
As weekend meeting got under way, Republican senators embraced a proposal made on online platforms early Saturday by Donald Trump from his resort in West Palm Beach, for subsidies to be replaced by HSA-style 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.
Republican Support
Several Republican senators praised the proposal, which is similar to a replacement for Obamacare proposed in 2017.
"We're going to replace this broken system with something that is truly better for the patient," one senator stated.
Another senator praised Trump's proposal on social media, and stood next to a large print of Trump's post as he spoke on the Senate floor.
"I'm writing 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 straight to Americans in HSA-style accounts and let them buy the health care they want."
Democratic Reaction
Opposition lawmakers expressed concerned responses to Trump's proposal.
"Essentially, Donald Trump's 'concept of a plan' for health care is another cynical attempt to eliminate Obamacare," one Democratic senator stated. "This is the same unsuccessful Republican plan that's been defeated by the public and Congress."
Another lawmaker responded to the censure of insurance companies by posting: "Well, Trump and the Republicans can't stand how the big, bad insurance companies are ripping-off Americans. Seriously? Then I welcome your support for Medicare for All."
Ongoing Negotiations
The Senate went into recess without finding a resolution, but Senate Republican leaders have indicated an openness to an emerging plan from a small group of moderate Democrats to terminate the shutdown in exchange for a future vote on the ACA subsidies.
One Democratic senator, who is leading the negotiations among moderates, said that Democrats "require another path forward" after Republicans turned down an proposal to restart the government and extend the subsidies for a year.
Another leading Democratic lawmaker continued in arguing that Republicans should accept a 12-month continuation of the subsidies before discussing the long-term of the subsidies.
"Inaction is derelict because people will go bankrupt, people will lose insurance, people will get sicker," the senator stated in a floor speech. "That is what will happen if this Congress fails to act."
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 legislators need the support of several Democrats to reopen the government, and the idea of eliminating and substituting Obamacare with HSAs is improbable to earn a solitary Democratic vote.
Some analysts suggested that the core of such a proposal would eliminate the ACA's requirement that carriers cover individuals with existing health issues.
After his resort visit, Trump returned to his residence and reiterated 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.