Congressional Republicans Back Trump's Proposal to Replace Affordable Care Act

US senators are meeting during the weekend for the first time since the government shutdown began more than a month ago, but expectations for a bipartisan agreement on how to resolve the standoff appeared to diminish as Republican senators proposed a plan unacceptable to Democrats: eliminating the Affordable Care Act, known as Obamacare.

Growing Consequences of Federal Closure

The impact on US citizens from the longest shutdown of the federal government in history worsened on Saturday, as government employees went without pay, carriers were compelled to cancel flights and SNAP benefits have been postponed for forty-two million Americans.

President's Proposal from Golf Course

As weekend meeting got under way, GOP senators welcomed a suggestion made on online platforms early Saturday by Donald Trump from his resort in West Palm Beach, for government payments to be substituted by HSA-style accounts.

"My recommendation is 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 posted.

Republican Support

Several Republican senators praised the proposal, 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 proposal on social media, and displayed 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 response to Trump's proposal. "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 health care they want."

Opposition Reaction

Democratic senators shared alarmed responses to Trump's proposal.

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

Another senator reacted to the censure of insurance companies by writing: "Oh, 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 finding a solution, but Senate Republican leaders have signaled an willingness to an emerging plan from a handful of moderate Democrats to terminate the shutdown in exchange for a later vote on the ACA payments.

One Democratic senator, who is spearheading the talks among centrists, said that Democrats "require another way ahead" after Republicans turned down an proposal to reopen the government and extend the payments for a year.

Another leading Democratic lawmaker persisted in arguing that Republicans should accept a one-year extension of the payments before negotiating the future of the tax credits.

"Doing nothing is irresponsible because citizens will go bankrupt, people will become uninsured, people will get sicker," the senator stated in a Senate address. "That's what will happen if this Congress fails to act."

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 lawmakers need the backing of eight Democrats to restart the government, and the concept of eliminating and substituting Obamacare with HSAs is improbable to earn a solitary Democratic vote.

Some observers suggested that the essence of such a plan would eliminate the ACA's requirement that insurance companies cover individuals with pre-existing conditions.

After his golf outing, Trump returned to his private club and reiterated on his demand that Republicans stop seeking agreement and try instead to eliminate and replace Obamacare with a version of the plan that was unsuccessful to garner enough support in 2017.

Ryan Spencer
Ryan Spencer

Elara is a tech journalist with a decade of experience covering software development and digital innovation trends.