US lawmakers 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 resolve the impasse appeared to recede as Republican senators proposed a plan toxic to Democrats: scrapping the ACA, known as Obamacare.
Deepening Consequences of Government Shutdown
The impact on US citizens from the longest shutdown of the federal government in history deepened on Saturday, as federal workers went unpaid, airlines were forced to cancel flights and SNAP benefits have been postponed for forty-two million Americans.
President's Plan from Golf Course
As weekend meeting got under way, Republican senators welcomed a suggestion made on social media early Saturday by Donald Trump from his golf course in West Palm Beach, for subsidies to be replaced by HSA-style accounts.
"I am recommending 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.
GOP Endorsement
Multiple Republican senators welcomed the plan, which is comparable with a replacement for Obamacare proposed in 2017.
"We will replace this broken system with something that is truly better for the consumer," one senator stated.
Another senator commended Trump's proposal on online platforms, 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 must stop taxpayer money from going to insurance companies and instead give it directly to Americans in health savings accounts and let them buy the health care they want."
Democratic Response
Democratic senators shared concerned reactions to Trump's plan.
"Essentially, Donald Trump's 'proposal' for health care is yet another cynical attempt to eliminate Obamacare," one Democratic senator commented. "It's the same unsuccessful Republican plan that's been rejected by voters and Congress."
Another lawmaker responded to the criticism of carriers by writing: "Well, Trump and the Republicans can't stand how the big, bad insurance companies are overcharging Americans. Seriously? In that case I welcome your support for Medicare for All."
Ongoing Negotiations
The Senate went into recess without reaching a resolution, but Senate Republican leaders have signaled an openness to an developing plan from a handful of moderate Democrats to end the shutdown in return for a later vote on the Obamacare subsidies.
One Democratic senator, who is spearheading the talks among centrists, said that Democrats "require another way ahead" after Republicans turned down an proposal to restart the government and continue the payments for a year.
Another leading Democratic lawmaker persisted in maintaining that Republicans should accept a one-year extension of the payments before discussing the long-term of the subsidies.
"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's what will happen if this Congress fails to act."
Partisan Dynamics
Not one of the Republican senators seemed to address the fact that patients 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 concept of eliminating and substituting Obamacare with HSAs is improbable to earn a single Democratic vote.
Several analysts suggested that the core of such a proposal would eliminate the ACA's mandate that carriers cover patients with pre-existing conditions.
After his resort visit, Trump went back 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 iteration of the plan that was unsuccessful to secure enough support in 2017.