US senators are working through the weekend for the first time since the government shutdown began over a month ago, but expectations for a cross-party deal on how to end the impasse appeared to recede as GOP senators floated a proposal unacceptable to Democrats: eliminating the Affordable Care Act, called Obamacare.
Growing Impact of Government Shutdown
The impact on Americans from the longest shutdown of the federal government in history worsened on Saturday, as federal workers went unpaid, carriers were compelled to cancel flights and Supplemental Nutrition Assistance Program benefits have been postponed for 42 million Americans.
Trump's Plan from Golf Course
As Saturday's meeting got under way, Republican senators welcomed a suggestion made on online platforms early Saturday by Donald Trump from his golf course in West Palm Beach, for government payments to be substituted by health savings 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 ineffective Healthcare provided by ObamaCare, BE SENT DIRECTLY TO THE PEOPLE SO THAT THEY CAN PURCHASE THEIR OWN, MUCH BETTER, HEALTHCARE," Trump wrote.
GOP Support
Several Republican senators welcomed the plan, which is comparable with a replacement for Obamacare proposed in 2017.
"We will replace this failing program with something that is truly better for the consumer," one senator said.
Another senator praised Trump's proposal on online platforms, and displayed a giant blow-up of Trump's post as he addressed on the Senate floor.
"I am drafting the bill right now," a third senator wrote in response to Trump's suggestion. "We must stop public funds from going to insurance companies and instead give it directly to Americans in health savings accounts and let them buy the medical coverage they want."
Opposition Reaction
Democratic senators expressed concerned responses to Trump's proposal.
"In other words, Donald Trump's 'concept of a plan' for health care is yet another cynical attempt to eliminate Obamacare," one Democratic senator commented. "It's the same unsuccessful Republican plan that's been rejected by the public and Congress."
Another senator reacted to the criticism of carriers by writing: "Well, Trump and the Republicans can't stand how the large insurance companies are overcharging Americans. Really? 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 proposal from a handful of moderate Democrats to end the shutdown in return for a future vote on the ACA subsidies.
One Democratic senator, who is leading the negotiations among centrists, said that Democrats "require another way ahead" after Republicans turned down an offer to reopen the government and continue the subsidies for a year.
Another senior Democratic lawmaker persisted in maintaining that Republicans should accept a 12-month continuation of the payments before negotiating the future of the subsidies.
"Inaction is derelict because people will go into debt, people will become uninsured, people will get more ill," the senator said in a floor speech. "That's what will happen if this Congress fails to act."
Partisan Dynamics
None of the Republican senators seemed to grapple with the fact that consumers would still need to buy coverage from the same insurance companies, or that Republican legislators need the backing of eight Democrats to reopen the government, and the concept of repealing and substituting Obamacare with savings accounts is improbable to earn a solitary Democratic vote.
Several observers suggested that the essence of such a proposal would remove the ACA's requirement that insurance companies cover patients with pre-existing conditions.
After his resort visit, Trump went back 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 failed to garner enough backing in 2017.