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 resolve the standoff appeared to recede as Republican senators proposed a proposal toxic to Democrats: eliminating the Affordable Care Act, called Obamacare.
Deepening Impact of Government Shutdown
The effect on Americans from the lengthiest shutdown of the US government in history deepened on Saturday, as government employees went unpaid, carriers were forced to ground planes and SNAP benefits have been postponed for forty-two million Americans.
Trump's Proposal from Golf Course
As Saturday's meeting got started, Republican senators embraced a proposal made on social media early Saturday by Donald Trump from his golf course in West Palm Beach, for subsidies to be substituted by health savings 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 ineffective Healthcare provided by ObamaCare, BE SENT DIRECTLY TO THE PEOPLE SO THAT THEY CAN PURCHASE THEIR OWN, MUCH BETTER, HEALTHCARE," Trump wrote.
Republican Endorsement
Multiple Republican senators welcomed the plan, which is similar to a replacement for Obamacare put forward in 2017.
"We will replace this failing program with something that is truly better for the patient," one senator stated.
Another senator praised Trump's suggestion 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 public funds from going to carriers and instead give it directly to Americans in health savings accounts and let them buy the health care they want."
Democratic Reaction
Democratic senators expressed alarmed responses to Trump's plan.
"Essentially, Donald Trump's 'proposal' for health care is another calculated attempt to eliminate Obamacare," one Democratic senator commented. "It's the same unsuccessful Republican plan that's been defeated by the public and Congress."
Another lawmaker responded to the criticism of insurance companies by posting: "Well, 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 went into recess without finding a solution, but Senate Republican leaders have signaled an willingness to an emerging proposal from a handful of moderate Democrats to end the shutdown in exchange for a future vote on the Obamacare subsidies.
One Democratic senator, who is spearheading the negotiations among moderates, said that Democrats "require another path forward" after Republicans turned down an proposal to restart the government and continue the subsidies for a year.
Another leading Democratic senator persisted in arguing that Republicans should agree to a 12-month continuation of the subsidies before discussing the future of the tax credits.
"Doing nothing is irresponsible because citizens will go bankrupt, people will become uninsured, people will get sicker," the senator said in a floor speech. "That's what will happen if this Congress does nothing."
Political Situation
Not one of the Republican senators seemed to address the fact that patients would still need to buy plans from the same carriers, or that Republican lawmakers need the support of eight Democrats to reopen the government, and the concept of eliminating and replacing Obamacare with savings accounts is improbable to earn a solitary Democratic vote.
Several observers indicated that the core of such a plan would remove the ACA's mandate that insurance companies cover patients with pre-existing conditions.
After his resort visit, Trump went back to his private club and doubled down on his demand that Republicans stop seeking agreement and try instead to repeal and replace Obamacare with a iteration of the proposal that was unsuccessful to garner enough support in 2017.