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Congressional Republicans Embrace President's Proposal to Overhaul Affordable Care Act

US senators are meeting during the weekend for the initial time since the federal closure began over a month ago, but expectations for a bipartisan agreement on how to end the impasse appeared to diminish as Republican senators proposed a plan unacceptable to Democrats: eliminating the ACA, called Obamacare.

Growing Impact of Government Shutdown

The impact on US citizens from the lengthiest shutdown of the US government in history worsened on Saturday, as government employees went without pay, airlines were compelled to cancel flights and SNAP benefits have been delayed for 42 million Americans.

Trump's Plan from Florida Resort

As Saturday's meeting 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 subsidies to be substituted by health savings accounts.

"I am recommending to Senate Republicans that the Hundreds of Billions of Dollars currently being sent to money sucking 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.

Republican Support

Multiple Republican senators welcomed the proposal, which is similar to a alternative 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 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 proposal. "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 Response

Opposition lawmakers shared concerned reactions to Trump's proposal.

"In other words, Donald Trump's 'concept of a plan' for health care is another cynical attempt to repeal Obamacare," one Democratic senator stated. "This is the same unsuccessful Republican plan that's been defeated by the public and Congress."

Another senator responded to the criticism of carriers by posting: "Well, Trump and the Republicans can't stand how the big, bad insurance companies are ripping-off Americans. Really? Then 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 willingness to an developing proposal from a handful of centrist lawmakers to terminate the shutdown in exchange for a later vote on the Obamacare payments.

One Democratic senator, who is leading the talks among moderates, said that Democrats "require another path forward" 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 negotiating the future of the tax credits.

"Inaction is irresponsible because people will go into debt, people will lose insurance, people will get sicker," the senator stated in a Senate address. "That is what will happen if this Congress does nothing."

Political Dynamics

Not one of the Republican senators seemed to address the fact that consumers would still need to buy plans from the same carriers, or that Republican lawmakers need the support of several Democrats to restart the government, and the idea of eliminating and substituting Obamacare with savings accounts is unlikely to earn a solitary Democratic vote.

Several analysts indicated that the core of such a plan would eliminate the ACA's mandate that carriers cover patients with pre-existing conditions.

After his resort visit, Trump returned to his residence and doubled down on his demand that Republicans stop seeking agreement and try instead to repeal and replace Obamacare with a version of the proposal that failed to garner enough support in 2017.

Written by

Tara Carpenter DDS

Wildlife biologist and conservationist specializing in sloth research, with over a decade of field experience in Central and South American rainforests.

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