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Senate Republicans Back Trump's Proposal to Overhaul Obamacare

US senators are working through the weekend for the first time since the federal closure began over a month ago, but hopes for a bipartisan agreement on how to resolve the standoff appeared to diminish as Republican senators floated a plan unacceptable to Democrats: eliminating the Affordable Care Act, known as Obamacare.

Growing Consequences of Government Shutdown

The effect on Americans from the lengthiest closure of the US government in history deepened on Saturday, as federal workers went unpaid, carriers were forced to cancel flights and Supplemental Nutrition Assistance Program benefits have been postponed for 42 million Americans.

President's Plan from Florida Resort

As Saturday's meeting got started, GOP senators welcomed a suggestion made on social media early Saturday by Donald Trump from his golf course in West Palm Beach, for subsidies to be replaced by health savings accounts.

"I am recommending 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 posted.

GOP Support

Several Republican senators welcomed the plan, which is comparable with a replacement for Obamacare proposed in 2017.

"We're going to 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 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 reply to Trump's suggestion. "We need to stop public funds from going to insurance companies and instead give it straight to Americans in HSA-style accounts and let them buy the health care they want."

Democratic Reaction

Opposition senators shared concerned responses to Trump's plan.

"Essentially, Donald Trump's 'proposal' for health care is another cynical attempt to repeal Obamacare," one Democratic senator stated. "This is the same unsuccessful Republican plan that's been rejected by the public and Congress."

Another senator responded to the censure of carriers by posting: "Oh, Trump and the Republicans dislike how the big, bad insurance companies are ripping-off Americans. Really? In that case I applaud your support for universal healthcare."

Continuing Negotiations

The Senate adjourned without finding a solution, but Senate Republican leaders have indicated an openness to an emerging proposal from a small group of centrist lawmakers to end the closure in return for a future vote on the ACA payments.

One Democratic senator, who is spearheading the talks among centrists, said that Democrats "need another way ahead" after Republicans turned down an proposal to reopen the government and continue the subsidies 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 tax credits.

"Inaction is irresponsible 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

Not one of the Republican senators seemed to grapple with the fact that patients would still need to buy plans from the same insurance companies, or that Republican legislators need the backing of several Democrats to restart the government, and the concept of repealing and replacing Obamacare with HSAs is unlikely to earn a single Democratic vote.

Several observers suggested that the essence of such a plan would remove the ACA's mandate that carriers cover individuals with pre-existing conditions.

After his resort visit, Trump returned to his private club and doubled down on his demand that Republicans stop seeking compromise and try instead to eliminate and overhaul Obamacare with a version of the plan that failed to garner enough support in 2017.

JL
By

Jamie Le

A cardiologist with over 15 years of clinical experience, specializing in preventive cardiology and patient education.

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