US senators 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 standoff appeared to recede as Republican senators proposed a proposal toxic to Democrats: scrapping the ACA, called Obamacare.
Growing Impact of Government Shutdown
The effect on US citizens from the longest shutdown of the federal government in history worsened on Saturday, as government employees went unpaid, airlines were forced to ground planes and SNAP benefits have been postponed for 42 million Americans.
President's Plan from Golf Course
As Saturday's session got under way, GOP senators embraced a proposal made on social media early Saturday by Donald Trump from his resort in West Palm Beach, for subsidies to be substituted by health savings accounts.
"My recommendation is 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 wrote.
Republican Support
Several Republican senators welcomed the proposal, which is similar to a alternative for Obamacare put forward in 2017.
"We're going to replace this broken system with something that is truly better for the patient," one senator said.
Another senator commended Trump's suggestion on social media, and displayed 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 wrote in reply to Trump's suggestion. "We need to stop public funds from going to carriers and instead give it directly to Americans in health savings accounts and let them buy the health care they want."
Opposition Response
Democratic senators expressed alarmed responses to Trump's plan.
"Essentially, Donald Trump's 'concept of a plan' for health care is another calculated attempt to eliminate Obamacare," one Democratic senator stated. "It's the same unsuccessful Republican plan that's been rejected by the public and Congress."
Another senator responded to the criticism of carriers by writing: "Oh, Trump and the Republicans can't stand how the large insurance companies are ripping-off Americans. Seriously? Then I applaud your support for Medicare for All."
Ongoing Negotiations
The Senate adjourned without reaching a resolution, but Senate Republican leaders have indicated an willingness to an emerging plan from a handful of moderate Democrats to terminate the closure in exchange for a future vote on the Obamacare payments.
One Democratic senator, who is spearheading the negotiations among moderates, said that Democrats "need another path forward" after Republicans rejected an offer to restart the government and continue the subsidies for a year.
Another leading Democratic lawmaker persisted in maintaining that Republicans should accept a 12-month continuation of the payments before discussing the long-term of the subsidies.
"Doing nothing is irresponsible because people will go into debt, people will become uninsured, people will get sicker," the senator stated in a Senate address. "That's what will happen if this Congress fails to act."
Political Dynamics
Not one of the Republican senators seemed to address the fact that patients would still need to buy coverage from the same insurance companies, or that Republican lawmakers need the support of several Democrats to reopen the government, and the idea of repealing and replacing Obamacare with HSAs is unlikely to earn a single Democratic vote.
Several analysts suggested that the essence of such a proposal would eliminate the ACA's requirement that insurance companies cover patients with existing health issues.
After his resort visit, Trump went back to his residence and doubled down on his insistence that Republicans stop seeking compromise and try instead to repeal and replace Obamacare with a iteration of the plan that was unsuccessful to secure enough support in 2017.