American senators are working through the weekend for the initial time since the federal closure began more than a month ago, but hopes for a bipartisan agreement on how to end the standoff appeared to recede as GOP senators floated a proposal unacceptable to Democrats: scrapping the Affordable Care Act, known as Obamacare.
Growing Impact of Government Shutdown
The effect on US citizens from the longest shutdown 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 Florida Resort
As Saturday's meeting 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 health savings accounts.
"I am recommending to Senate Republicans that the 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 plan, which is comparable with a alternative for Obamacare put forward in 2017.
"We're going to replace this broken system with something that is actually better for the patient," one senator said.
Another senator commended Trump's proposal on social media, and stood next to a giant blow-up of Trump's post as he spoke on the Senate floor.
"I'm writing the bill right now," a third senator posted in response to Trump's suggestion. "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 Response
Democratic lawmakers shared concerned responses to Trump's plan.
"In other words, Donald Trump's 'concept of a plan' for health care is yet another cynical attempt to repeal Obamacare," one Democratic senator commented. "It's the same failed Republican plan that's been defeated by the public and Congress."
Another lawmaker reacted to the criticism of carriers by writing: "Oh, Trump and the Republicans can't stand how the big, bad insurance companies are overcharging Americans. Really? In that case I applaud your support for Medicare for All."
Ongoing Talks
The Senate adjourned without reaching a resolution, but Senate Republican leaders have indicated an openness to an developing proposal from a small group of centrist lawmakers to end the closure in return for a future vote on the ACA payments.
One Democratic senator, who is spearheading the talks among moderates, said that Democrats "need another way ahead" after Republicans rejected an proposal to reopen the government and extend the subsidies for a year.
Another senior Democratic lawmaker continued in arguing that Republicans should accept a 12-month continuation of the subsidies before negotiating the long-term of the tax credits.
"Doing nothing is irresponsible because people will go into debt, people will become uninsured, people will get sicker," the senator stated 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 lawmakers need the support of eight Democrats to reopen the government, and the idea of eliminating and replacing Obamacare with savings accounts is unlikely to earn a single Democratic vote.
Some observers indicated that the essence of such a proposal would eliminate the ACA's mandate that insurance companies cover patients with pre-existing conditions.
After his resort visit, Trump returned to his private club and doubled down on his insistence that Republicans stop seeking compromise and try instead to repeal and overhaul Obamacare with a iteration of the proposal that failed to secure enough support in 2017.