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Senate Republicans Embrace President's Call to Overhaul Affordable Care Act

American senators are meeting during the weekend for the initial time since the federal closure began more than a month ago, but expectations for a bipartisan agreement on how to resolve the standoff appeared to recede as GOP senators proposed a plan unacceptable to Democrats: eliminating the Affordable Care Act, known as Obamacare.

Growing Impact of Federal Closure

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

Trump's Plan from Florida Resort

As weekend meeting got started, GOP senators welcomed a suggestion made on online platforms early Saturday by Donald Trump from his golf course in West Palm Beach, for subsidies to be substituted by HSA-style 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 bad 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 welcomed the plan, which is comparable with a alternative for Obamacare put forward in 2017.

"We will replace this broken system with something that is actually better for the patient," one senator stated.

Another senator commended Trump's proposal on online platforms, and displayed a large print of Trump's post as he addressed on the Senate floor.

"I'm writing the bill right now," a third senator posted in reply to Trump's suggestion. "We must stop taxpayer money from going to carriers and instead give it directly to Americans in HSA-style accounts and let them buy the health care they want."

Democratic Reaction

Opposition lawmakers shared alarmed responses to Trump's proposal.

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

Another senator responded to the criticism of insurance companies by posting: "Oh, Trump and the Republicans dislike how the large insurance companies are overcharging Americans. Really? Then I applaud your support for Medicare for All."

Ongoing Negotiations

The Senate adjourned without finding a solution, but Senate Republican leaders have signaled an willingness to an developing proposal 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 way ahead" after Republicans turned down an proposal to restart the government and extend the payments for a year.

Another senior Democratic senator persisted in arguing that Republicans should accept a 12-month continuation of the subsidies before discussing the long-term of the subsidies.

"Doing nothing is irresponsible because citizens will go bankrupt, people will lose insurance, people will get sicker," the senator said 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 grapple with the fact that patients would still need to buy coverage from the same insurance companies, or that Republican lawmakers need the backing of several Democrats to reopen the government, and the idea of repealing and substituting 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 mandate that carriers cover patients with existing health issues.

After his golf outing, Trump returned to his residence and doubled down on his insistence that Republicans stop seeking compromise and try instead to repeal and overhaul Obamacare with a iteration of the proposal that failed to secure enough support in 2017.

About the author

Jasmine Mendez

Elin Vinter är en svensk vetenskapsjournalist med över tio års erfarenhet av att rapportera om teknik och forskning.

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