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Congressional GOP Back Trump's Call to Replace Affordable Care Act

American lawmakers are meeting during the weekend for the first 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 diminish as GOP senators proposed a proposal toxic to Democrats: scrapping the Affordable Care Act, called Obamacare.

Growing Impact of Government Shutdown

The effect on US citizens from the lengthiest closure of the federal government in history worsened on Saturday, as government employees went without pay, carriers were forced to ground planes and Supplemental Nutrition Assistance Program benefits have been delayed for 42 million Americans.

Trump's Proposal from Golf Course

As Saturday's session got started, Republican senators embraced a suggestion made on social media early Saturday by Donald Trump from his golf course in West Palm Beach, for subsidies to be substituted by health savings 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 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 proposal, which is similar to a replacement for Obamacare put forward in 2017.

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

Another senator praised Trump's suggestion on online platforms, and stood next to a giant blow-up of Trump's post as he addressed on the Senate floor.

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

Opposition Response

Democratic senators expressed alarmed responses to Trump's proposal.

"In other words, Donald Trump's 'concept of a plan' for health care is yet another cynical attempt to repeal Obamacare," one Democratic senator stated. "It's the same unsuccessful Republican plan that's been rejected by the public and Congress."

Another senator responded to the criticism of carriers by writing: "Oh, Trump and the Republicans can't stand how the large insurance companies are ripping-off Americans. Seriously? In that case I applaud your support for Medicare for All."

Continuing Talks

The Senate adjourned without reaching a resolution, but Senate Republican leaders have indicated an openness to an developing proposal from a handful of centrist lawmakers to terminate the shutdown in return for a later vote on the Obamacare payments.

One Democratic senator, who is leading the negotiations among centrists, said that Democrats "need another way ahead" after Republicans turned down an proposal to reopen the government and continue the payments for a year.

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

"Inaction is derelict because citizens will go into debt, people will become uninsured, people will get sicker," the senator stated 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 consumers would still need to buy plans from the same insurance companies, or that Republican legislators need the backing of eight Democrats to reopen the government, and the idea of eliminating and replacing Obamacare with HSAs is unlikely to earn a single Democratic vote.

Several observers indicated that the core of such a plan would remove the ACA's mandate that insurance companies cover patients with pre-existing conditions.

After his resort visit, Trump returned to his private club and doubled down on his insistence that Republicans stop seeking agreement and try instead to eliminate and overhaul Obamacare with a version of the plan that failed to secure enough support in 2017.

About the author

Dr. Emily Morrison

A passionate writer and wellness coach dedicated to helping others achieve balance and growth through mindful practices.

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