American senators are working through the weekend for the first time since the government shutdown began over a month ago, but hopes for a bipartisan agreement on how to end the standoff appeared to diminish as Republican senators proposed a proposal unacceptable to Democrats: eliminating the Affordable Care Act, known as Obamacare.
Growing Consequences of Federal Closure
The impact on US citizens from the longest closure of the US government in history deepened on Saturday, as federal workers went without pay, carriers were compelled to cancel flights and SNAP benefits have been delayed for 42 million Americans.
Trump's Plan from Florida Resort
As weekend meeting got under way, GOP senators welcomed a suggestion made on social media early Saturday by Donald Trump from his golf course in West Palm Beach, for government payments to be replaced by HSA-style accounts.
"My recommendation is 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.
Republican Support
Several Republican senators praised the plan, which is similar to 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 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 wrote in reply to Trump's suggestion. "We need to stop public funds from going to insurance companies and instead give it directly to Americans in HSA-style accounts and let them buy the medical coverage they want."
Opposition Response
Democratic senators expressed alarmed reactions to Trump's proposal.
"Essentially, Donald Trump's 'proposal' for health care is yet another calculated attempt to eliminate Obamacare," one Democratic senator stated. "This is the same unsuccessful Republican plan that's been rejected by the public and Congress."
Another lawmaker responded to the criticism of insurance companies by posting: "Well, Trump and the Republicans can't stand how the big, bad insurance companies are overcharging Americans. Really? In that case I applaud your support for Medicare for All."
Ongoing Negotiations
The Senate adjourned without reaching a solution, but Senate Republican leaders have indicated an openness to an developing proposal from a small group of centrist lawmakers to end the closure in exchange for a later vote on the Obamacare payments.
One Democratic senator, who is leading the talks among centrists, said that Democrats "require another path forward" after Republicans turned down an offer to restart the government and extend the subsidies for a year.
Another leading Democratic lawmaker persisted in maintaining that Republicans should accept a one-year extension of the subsidies before negotiating the long-term of the tax credits.
"Inaction is derelict because people will go into debt, people will lose insurance, people will get sicker," the senator stated in a Senate address. "That's what will happen if this Congress fails to act."
Partisan Situation
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 legislators need the backing of several Democrats to restart the government, and the idea of repealing and substituting Obamacare with savings accounts is unlikely to earn a solitary Democratic vote.
Several observers suggested that the core of such a proposal would eliminate the ACA's requirement that insurance companies cover patients with existing health issues.
After his resort visit, Trump returned to his private club and doubled down on his insistence that Republicans stop seeking compromise and try instead to repeal and replace Obamacare with a version of the proposal that failed to secure enough support in 2017.