US lawmakers are working through 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 end the impasse appeared to recede as GOP senators proposed a proposal toxic to Democrats: eliminating the Affordable Care Act, known as Obamacare.
Growing Consequences of Government Shutdown
The impact on Americans from the longest shutdown of the US government in history deepened on Saturday, as federal workers went without pay, airlines were compelled to cancel flights and Supplemental Nutrition Assistance Program benefits have been postponed for forty-two million Americans.
Trump's Plan from Florida Resort
As weekend meeting got under way, Republican senators welcomed 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 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
Multiple Republican senators welcomed 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 patient," one senator stated.
Another senator commended Trump's suggestion 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 proposal. "We need to stop taxpayer money from going to insurance companies and instead give it straight to Americans in health savings accounts and let them buy the medical coverage they want."
Democratic Reaction
Opposition senators shared alarmed reactions to Trump's plan.
"In other words, Donald Trump's 'proposal' for health care is another calculated attempt to repeal Obamacare," one Democratic senator stated. "This is the same unsuccessful Republican plan that's been rejected by voters and Congress."
Another senator reacted to the criticism of carriers by writing: "Oh, Trump and the Republicans dislike how the large insurance companies are ripping-off Americans. Seriously? In that case I applaud your support for universal healthcare."
Continuing Talks
The Senate went into recess without reaching a solution, but Senate Republican leaders have indicated an openness to an developing plan from a small group of centrist lawmakers to end the shutdown in return for a later vote on the Obamacare subsidies.
One Democratic senator, who is leading the negotiations among moderates, said that Democrats "need another way ahead" after Republicans rejected an proposal to reopen the government and extend the payments for a year.
Another senior Democratic senator persisted in arguing that Republicans should agree to a 12-month continuation of the subsidies before negotiating the future of the tax credits.
"Doing nothing is irresponsible because people will go into debt, people will lose insurance, people will get more ill," the senator said in a floor speech. "That is what will happen if this Congress does nothing."
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 carriers, or that Republican legislators need the support of eight Democrats to reopen the government, and the idea of eliminating and substituting Obamacare with HSAs is improbable to earn a single Democratic vote.
Several observers indicated that the essence of such a proposal would remove the ACA's requirement that insurance companies cover patients with existing health issues.
After his golf outing, 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 iteration of the proposal that was unsuccessful to garner enough support in 2017.