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Congressional Republicans Embrace Trump's Proposal to Replace Affordable Care Act

US senators are working through the weekend for the initial time since the federal closure began more than a month ago, but hopes for a bipartisan agreement on how to resolve the impasse appeared to recede as Republican senators proposed a plan unacceptable to Democrats: scrapping the Affordable Care Act, known as Obamacare.

Deepening Consequences of Federal Closure

The effect on Americans from the longest shutdown of the federal government in history deepened on Saturday, as federal workers went unpaid, carriers were compelled to ground planes and Supplemental Nutrition Assistance Program benefits have been postponed for forty-two million Americans.

President's Plan from Florida Resort

As Saturday's session got started, Republican senators welcomed a proposal made on social media early Saturday by Donald Trump from his resort in West Palm Beach, for government payments to be substituted by health savings 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 ineffective Healthcare provided by ObamaCare, BE SENT DIRECTLY TO THE PEOPLE SO THAT THEY CAN PURCHASE THEIR OWN, MUCH BETTER, HEALTHCARE," Trump posted.

Republican Endorsement

Several Republican senators praised the proposal, which is comparable with a alternative for Obamacare proposed in 2017.

"We will replace this broken system with something that is truly better for the consumer," one senator said.

Another senator praised Trump's proposal on online platforms, and stood next to a giant blow-up of Trump's post as he addressed on the Senate floor.

"I am drafting the bill right now," a third senator posted in reply to Trump's suggestion. "We need to stop public funds from going to carriers and instead give it straight to Americans in HSA-style accounts and let them buy the medical coverage they want."

Democratic Reaction

Opposition lawmakers expressed alarmed responses to Trump's plan.

"Essentially, Donald Trump's 'concept of a plan' for health care is yet another calculated attempt to repeal Obamacare," one Democratic senator stated. "This is the same failed Republican plan that's been rejected by voters and Congress."

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

Ongoing Negotiations

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

One Democratic senator, who is leading the talks among moderates, said that Democrats "require another path forward" after Republicans turned down an offer to restart the government and extend the payments for a year.

Another senior Democratic senator persisted in arguing that Republicans should agree to a one-year extension of the subsidies before discussing the future of the subsidies.

"Doing nothing is derelict because people will go into debt, people will become uninsured, people will get sicker," the senator stated in a Senate address. "That is what will happen if this Congress does nothing."

Partisan Dynamics

None 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 backing of eight Democrats to restart the government, and the idea of eliminating and replacing Obamacare with savings accounts is unlikely to earn a single Democratic vote.

Some observers suggested that the core of such a plan would remove the ACA's requirement that carriers cover patients with pre-existing conditions.

After his resort visit, Trump returned to his residence and doubled down on his insistence that Republicans stop seeking agreement and try instead to eliminate and replace Obamacare with a version of the plan that was unsuccessful to garner enough support in 2017.

About the author

Christopher Richards

A tech journalist and digital strategist with over a decade of experience covering emerging technologies and their impact on society.

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