Senate Republicans Back President's Call to Replace Affordable Care Act

US lawmakers are working through the weekend for the initial time since the government shutdown began over a month ago, but expectations for a bipartisan agreement on how to end the standoff appeared to recede as GOP senators floated a plan toxic to Democrats: eliminating the Affordable Care Act, known as Obamacare.

Growing Consequences of Federal Closure

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

Trump's Proposal from Golf Course

As weekend session got under way, Republican senators embraced 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 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.

GOP Support

Multiple Republican senators praised the proposal, which is comparable with a replacement for Obamacare put forward in 2017.

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

Another senator praised Trump's proposal on social media, and displayed a giant blow-up of Trump's post as he spoke on the Senate floor.

"I am drafting the bill right now," a third senator wrote in response to Trump's suggestion. "We need to stop taxpayer money from going to insurance companies and instead give it straight to Americans in health savings accounts and let them buy the medical coverage they want."

Opposition Response

Opposition senators expressed alarmed responses to Trump's proposal.

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

Another lawmaker responded to the criticism of insurance companies by writing: "Well, Trump and the Republicans can't stand how the large insurance companies are overcharging Americans. Seriously? Then I applaud your support for Medicare for All."

Continuing Talks

The Senate went into recess without reaching a resolution, but Senate Republican leaders have indicated an openness to an developing plan from a small group of moderate Democrats to end the closure in return for a later vote on the ACA subsidies.

One Democratic senator, who is leading the talks among moderates, said that Democrats "require another path forward" after Republicans turned down an offer to restart the government and continue the payments for a year.

Another senior 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 irresponsible because people will go into debt, people will become uninsured, people will get more ill," the senator stated in a floor speech. "That's what will happen if this Congress fails to act."

Political Dynamics

None of the Republican senators seemed to address the fact that consumers would still need to buy plans from the same insurance companies, or that Republican lawmakers need the support of eight Democrats to reopen the government, and the idea of eliminating and replacing Obamacare with HSAs is improbable to earn a single Democratic vote.

Some analysts suggested that the essence of such a proposal would remove the ACA's mandate that carriers cover individuals with existing health issues.

After his resort visit, Trump returned to his residence and doubled down on his insistence that Republicans stop seeking agreement and try instead to repeal and overhaul Obamacare with a iteration of the proposal that failed to secure enough backing in 2017.

Kristen Fisher
Kristen Fisher

A content strategist passionate about storytelling and digital innovation, with over a decade of experience in creative industries.