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Senate GOP Support Trump's Proposal to Replace Affordable Care Act

American senators are meeting during the weekend for the first time since the federal closure began over a month ago, but expectations for a bipartisan agreement on how to end the impasse appeared to recede as Republican senators floated a plan toxic to Democrats: eliminating the ACA, known as Obamacare.

Growing Consequences of Government Shutdown

The effect on US citizens from the longest closure of the US government in history worsened on Saturday, as government employees went without pay, airlines were compelled to ground planes and SNAP benefits have been delayed for 42 million Americans.

President's Proposal from Golf Course

As weekend session got started, GOP senators embraced a proposal made on online platforms early Saturday by Donald Trump from his resort 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 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

Several Republican senators welcomed the plan, which is similar to a replacement for Obamacare proposed in 2017.

"We're going to replace this failing program with something that is truly better for the patient," one senator said.

Another senator praised Trump's suggestion on online platforms, and stood next to 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 public funds from going to carriers and instead give it straight to Americans in health savings accounts and let them buy the medical coverage they want."

Opposition Response

Opposition lawmakers expressed concerned responses to Trump's plan.

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

Another lawmaker responded to the censure of carriers by posting: "Oh, Trump and the Republicans can't stand how the large insurance companies are ripping-off Americans. Seriously? Then I applaud your support for Medicare for All."

Continuing Negotiations

The Senate went into recess without finding a solution, but Senate Republican leaders have indicated an openness to an developing proposal from a small group of centrist lawmakers to terminate the shutdown in return for a future vote on the ACA subsidies.

One Democratic senator, who is spearheading the talks among centrists, 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 leading Democratic senator persisted in maintaining that Republicans should agree to a one-year extension of the payments before negotiating the long-term of the tax credits.

"Inaction is derelict because citizens will go into debt, people will become uninsured, people will get sicker," the senator said in a Senate address. "That's what will happen if this Congress does nothing."

Political Dynamics

None 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 repealing and replacing Obamacare with HSAs is unlikely to earn a solitary Democratic vote.

Several analysts suggested that the essence of such a plan would eliminate the ACA's mandate that insurance companies cover individuals with pre-existing conditions.

After his resort visit, Trump returned to his private club and reiterated on his insistence that Republicans stop seeking compromise and try instead to eliminate and replace Obamacare with a version of the proposal that was unsuccessful to garner enough support in 2017.

About the author

Jessica Ramirez

Elara Vance is a business strategist with over 15 years of experience helping companies scale and innovate in competitive markets.

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