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Congressional GOP Support Trump's Proposal to Overhaul Affordable Care Act

American senators 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 end the impasse appeared to diminish as GOP senators floated a plan toxic to Democrats: eliminating the Affordable Care Act, called Obamacare.

Growing Impact of Federal Closure

The effect on Americans from the longest shutdown of the federal government in history deepened on Saturday, as federal workers went without pay, carriers were forced to ground planes and Supplemental Nutrition Assistance Program benefits have been postponed for forty-two million Americans.

President's Plan from Golf Course

As weekend meeting got started, GOP senators welcomed 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.

"My recommendation is to Senate Republicans that the Billions of Dollars currently being sent to money sucking 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 wrote.

Republican Endorsement

Several Republican senators praised the plan, which is comparable with a replacement for Obamacare put forward in 2017.

"We will replace this failing program with something that is actually better for the consumer," one senator said.

Another senator praised Trump's proposal on social media, 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 wrote 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 medical coverage they want."

Democratic Reaction

Opposition lawmakers expressed concerned reactions to Trump's plan.

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

Another lawmaker responded to the criticism of carriers by writing: "Well, Trump and the Republicans dislike how the big, bad insurance companies are overcharging Americans. Really? In that case I applaud your support for Medicare for All."

Continuing Talks

The Senate went into recess without reaching a resolution, but Senate Republican leaders have indicated an openness to an emerging plan from a small group of centrist lawmakers to terminate the shutdown in return for a future vote on the Obamacare subsidies.

One Democratic senator, who is spearheading the talks among moderates, 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 leading Democratic lawmaker continued in arguing that Republicans should accept a one-year extension of the subsidies before discussing the long-term of the tax credits.

"Inaction is derelict because citizens will go into debt, people will become uninsured, people will get more ill," the senator stated in a floor speech. "That's what will happen if this Congress fails to act."

Political Situation

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 replacing Obamacare with HSAs is improbable to earn a solitary Democratic vote.

Some observers indicated that the essence of such a proposal would remove the ACA's mandate that carriers cover patients with existing health issues.

After his resort visit, Trump went back to his private club and doubled down on his demand that Republicans stop seeking agreement and try instead to eliminate and replace Obamacare with a version of the proposal that was unsuccessful to garner enough support in 2017.

About the author

Stacey Spencer

A seasoned business analyst with over a decade of experience in market research and strategic consulting.

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