US lawmakers are meeting during the weekend for the initial time since the government shutdown began more than a month ago, but expectations for a cross-party deal on how to resolve the impasse appeared to recede as Republican senators proposed a proposal unacceptable to Democrats: eliminating the ACA, called Obamacare.
Deepening Impact of Government Shutdown
The effect on Americans from the lengthiest shutdown of the federal government in history worsened on Saturday, as government employees went without pay, airlines were forced to cancel flights and Supplemental Nutrition Assistance Program benefits have been postponed for 42 million Americans.
Trump's Proposal from Florida Resort
As Saturday's session got under way, GOP 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 HSA-style accounts.
"I am recommending to Senate Republicans that the Hundreds of 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 Support
Several Republican senators praised the proposal, which is comparable with a alternative for Obamacare put forward in 2017.
"We're going to replace this failing program with something that is truly better for the patient," one senator stated.
Another senator praised Trump's suggestion on online platforms, and displayed 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 reply to Trump's suggestion. "We need to stop taxpayer money from going to carriers and instead give it straight to Americans in health savings accounts and let them buy the medical coverage they want."
Democratic Reaction
Opposition senators expressed alarmed responses to Trump's plan.
"In other words, Donald Trump's 'proposal' for health care is another calculated attempt to repeal Obamacare," one Democratic senator stated. "This is the same failed Republican plan that's been rejected by the public and Congress."
Another lawmaker reacted to the censure of carriers by writing: "Oh, Trump and the Republicans dislike how the big, bad insurance companies are ripping-off Americans. Really? Then I applaud your support for Medicare for All."
Continuing Negotiations
The Senate adjourned without finding a resolution, but Senate Republican leaders have indicated an openness to an developing plan from a small group of centrist lawmakers to terminate the shutdown in exchange for a future vote on the ACA payments.
One Democratic senator, who is leading the negotiations among moderates, said that Democrats "need another way ahead" after Republicans rejected an offer to restart the government and extend the subsidies for a year.
Another leading Democratic lawmaker persisted in arguing that Republicans should accept a 12-month continuation of the subsidies before discussing the long-term of the subsidies.
"Inaction is irresponsible because citizens will go into debt, people will become uninsured, people will get more ill," the senator said in a floor speech. "That's what will happen if this Congress fails to act."
Political Situation
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 backing of eight Democrats to reopen the government, and the concept of repealing and substituting Obamacare with HSAs is unlikely to earn a solitary Democratic vote.
Several observers indicated that the core of such a proposal would eliminate the ACA's mandate that insurance companies cover individuals with pre-existing conditions.
After his resort visit, Trump returned to his private club and doubled down on his insistence that Republicans stop seeking agreement and try instead to eliminate and overhaul Obamacare with a iteration of the proposal that failed to garner enough backing in 2017.