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Congressional Republicans Support Trump's Proposal to Overhaul Affordable Care Act

US senators are working through the weekend for the first time since the federal closure 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 plan unacceptable to Democrats: scrapping the ACA, known as Obamacare.

Growing Impact of Federal Closure

The impact on Americans from the longest shutdown of the federal government in history deepened on Saturday, as federal workers went without pay, airlines were compelled to cancel flights and SNAP benefits have been postponed for 42 million Americans.

Trump's Proposal from Florida Resort

As weekend session got under way, Republican senators embraced a suggestion made on online platforms early Saturday by Donald Trump from his golf course in West Palm Beach, for government payments to be replaced by HSA-style accounts.

"I am recommending to Senate Republicans that the Hundreds of Billions of Dollars currently being sent to money sucking 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.

GOP Support

Several Republican senators praised the proposal, which is similar to a alternative for Obamacare put forward in 2017.

"We're going to replace this broken system with something that is truly better for the patient," one senator stated.

Another senator commended Trump's suggestion 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 wrote in response to Trump's suggestion. "We must stop taxpayer money from going to carriers and instead give it directly to Americans in HSA-style accounts and let them buy the medical coverage they want."

Opposition Response

Democratic senators expressed concerned reactions to Trump's plan.

"In other words, Donald Trump's 'concept of a plan' for health care is yet another calculated 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 reacted to the criticism of carriers by posting: "Oh, Trump and the Republicans can't stand how the large insurance companies are overcharging Americans. Seriously? In that case I welcome your support for Medicare for All."

Continuing Talks

The Senate went into recess without finding a solution, but Senate Republican leaders have indicated an openness to an developing plan from a handful of moderate Democrats to terminate the closure in exchange for a later vote on the ACA payments.

One Democratic senator, who is leading the negotiations among centrists, said that Democrats "need another way ahead" after Republicans rejected an proposal to restart the government and extend the subsidies for a year.

Another leading Democratic senator persisted in arguing that Republicans should accept a one-year extension of the subsidies before discussing the future of the subsidies.

"Inaction is irresponsible because citizens will go bankrupt, people will become uninsured, people will get more ill," the senator said in a Senate address. "That is what will happen if this Congress does nothing."

Political Dynamics

Not one of the Republican senators seemed to address the fact that patients would still need to buy plans from the same insurance companies, or that Republican legislators need the support of several Democrats to reopen the government, and the idea 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 eliminate the ACA's requirement that carriers cover patients with pre-existing conditions.

After his golf outing, Trump went back to his residence and doubled down on his demand that Republicans stop seeking agreement and try instead to repeal and replace Obamacare with a iteration of the plan that was unsuccessful to secure enough backing in 2017.

The writer

Paul Hernandez

A UK-based digital strategist with over a decade of experience in tech consulting, passionate about helping businesses leverage digital tools for growth.

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