American senators 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 resolve the standoff appeared to diminish as GOP senators proposed a proposal toxic to Democrats: eliminating the ACA, known as Obamacare.
Deepening Consequences of Government Shutdown
The effect on US citizens from the lengthiest shutdown of the US government in history deepened on Saturday, as federal workers went unpaid, carriers were forced to cancel flights and Supplemental Nutrition Assistance Program benefits have been delayed for 42 million Americans.
Trump's Proposal from Golf Course
As Saturday's session got under way, GOP 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 replaced 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 bad Healthcare provided by ObamaCare, BE SENT DIRECTLY TO THE PEOPLE SO THAT THEY CAN PURCHASE THEIR OWN, MUCH BETTER, HEALTHCARE," Trump posted.
Republican Endorsement
Multiple Republican senators welcomed the plan, which is comparable with a alternative for Obamacare put forward in 2017.
"We will replace this broken system 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 am drafting the bill right now," a third senator posted in reply to Trump's proposal. "We must stop public funds from going to carriers and instead give it directly to Americans in HSA-style accounts and let them buy the health care they want."
Opposition Reaction
Opposition lawmakers expressed concerned reactions to Trump's plan.
"Essentially, Donald Trump's 'concept of a plan' for health care is yet another cynical attempt to repeal Obamacare," one Democratic senator stated. "This is the same unsuccessful Republican plan that's been defeated by the public and Congress."
Another lawmaker reacted to the censure of carriers by writing: "Oh, Trump and the Republicans dislike how the big, bad insurance companies are overcharging Americans. Seriously? In that case I applaud your support for Medicare for All."
Ongoing Negotiations
The Senate adjourned without finding a solution, but Senate Republican leaders have signaled an willingness to an emerging proposal from a small group of moderate Democrats to terminate the closure in exchange for a future vote on the Obamacare payments.
One Democratic senator, who is spearheading the negotiations among moderates, said that Democrats "need another path forward" after Republicans turned down an proposal to reopen the government and extend the subsidies for a year.
Another leading Democratic lawmaker persisted in maintaining that Republicans should accept a one-year extension of the subsidies before discussing the future of the tax credits.
"Inaction is derelict because people will go into debt, people will lose insurance, people will get sicker," the senator said in a floor speech. "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 consumers would still need to buy plans from the same carriers, or that Republican legislators need the support of several Democrats to restart the government, and the concept of repealing and replacing Obamacare with savings accounts is improbable to earn a single Democratic vote.
Several analysts indicated that the essence of such a proposal would remove the ACA's mandate that insurance companies cover individuals with existing health issues.
After his resort visit, Trump went back to his residence and doubled down on his demand that Republicans stop seeking agreement and try instead to eliminate and overhaul Obamacare with a iteration of the plan that was unsuccessful to secure enough backing in 2017.