US lawmakers are working through the weekend for the initial time since the government shutdown began more than a month ago, but hopes for a bipartisan agreement on how to resolve the standoff appeared to diminish as Republican senators floated a proposal unacceptable to Democrats: scrapping the ACA, called Obamacare.
Growing Impact of Federal Closure
The impact on US citizens from the lengthiest shutdown of the federal government in history deepened on Saturday, as government employees went unpaid, carriers were forced to cancel flights and Supplemental Nutrition Assistance Program benefits have been postponed for 42 million Americans.
President's Plan from Florida Resort
As Saturday's meeting got under way, Republican senators embraced a proposal made on social media early Saturday by Donald Trump from his golf course in West Palm Beach, for government payments to be replaced 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 ineffective Healthcare provided by ObamaCare, BE SENT DIRECTLY TO THE PEOPLE SO THAT THEY CAN PURCHASE THEIR OWN, MUCH BETTER, HEALTHCARE," Trump wrote.
Republican Support
Multiple Republican senators praised the plan, which is comparable with a alternative 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 commended Trump's suggestion on online platforms, and displayed a large print of Trump's post as he addressed on the Senate floor.
"I am drafting the bill right now," a third senator posted in response to Trump's proposal. "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 Reaction
Democratic senators shared concerned responses to Trump's proposal.
"Essentially, Donald Trump's 'proposal' for health care is yet another cynical attempt to repeal Obamacare," one Democratic senator commented. "This is the same unsuccessful Republican plan that's been defeated by the public and Congress."
Another senator responded to the censure of insurance companies by writing: "Well, Trump and the Republicans dislike how the large insurance companies are ripping-off Americans. Seriously? Then I welcome your support for Medicare for All."
Ongoing Talks
The Senate adjourned without finding a solution, but Senate Republican leaders have signaled an openness to an developing plan from a handful of moderate Democrats to terminate the closure in return for a future vote on the ACA subsidies.
One Democratic senator, who is leading the talks among centrists, said that Democrats "need another way ahead" after Republicans turned down an offer to reopen the government and extend the payments for a year.
Another leading Democratic senator persisted in arguing that Republicans should agree to a one-year extension of the payments before negotiating the long-term of the subsidies.
"Doing nothing is irresponsible because citizens will go into debt, people will become uninsured, people will get sicker," the senator said in a floor speech. "That is what will happen if this Congress does nothing."
Partisan Dynamics
Not one of the Republican senators seemed to grapple with the fact that consumers would still need to buy coverage from the same carriers, or that Republican legislators need the support of several Democrats to reopen the government, and the concept of repealing and replacing Obamacare with savings accounts is improbable to earn a single Democratic vote.
Some analysts indicated that the essence of such a plan would eliminate the ACA's requirement that carriers cover patients with pre-existing conditions.
After his resort visit, Trump returned to his residence and reiterated on his insistence that Republicans stop seeking compromise and try instead to repeal and overhaul Obamacare with a version of the proposal that failed to garner enough support in 2017.