American senators are working through the weekend for the first time since the government shutdown began over a month ago, but hopes for a bipartisan agreement on how to resolve the standoff appeared to recede as Republican senators proposed a proposal unacceptable to Democrats: eliminating the Affordable Care Act, called Obamacare.
Deepening Impact of Federal Closure
The effect on Americans from the longest closure of the US government in history worsened on Saturday, as government employees went unpaid, airlines were forced to ground planes and Supplemental Nutrition Assistance Program benefits have been delayed for 42 million Americans.
Trump's Plan from Golf Course
As Saturday's meeting got under way, GOP senators welcomed a suggestion made on online platforms early Saturday by Donald Trump from his resort in West Palm Beach, for government payments to be replaced by health savings accounts.
"My recommendation is 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.
GOP Support
Multiple Republican senators praised the plan, which is similar to a replacement for Obamacare proposed in 2017.
"We're going to replace this failing program with something that is actually 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 posted in response to Trump's suggestion. "We need to stop taxpayer money 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 senators shared alarmed reactions to Trump's plan.
"Essentially, Donald Trump's 'concept of a plan' for health care is another cynical attempt to repeal Obamacare," one Democratic senator stated. "This is the same failed Republican plan that's been rejected 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 ripping-off Americans. Seriously? In that case I welcome your support for Medicare for All."
Ongoing Negotiations
The Senate adjourned without finding a solution, but Senate Republican leaders have indicated an openness to an developing proposal from a handful of centrist lawmakers to end the shutdown in exchange for a later vote on the ACA subsidies.
One Democratic senator, who is leading the talks among moderates, said that Democrats "need another path forward" after Republicans turned down an proposal to reopen the government and extend the payments for a year.
Another senior Democratic senator continued in maintaining that Republicans should accept a one-year extension of the payments before negotiating the long-term of the subsidies.
"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 does nothing."
Partisan Dynamics
None of the Republican senators seemed to address the fact that patients would still need to buy coverage from the same insurance companies, or that Republican lawmakers need the support of eight Democrats to restart the government, and the idea of eliminating and replacing Obamacare with HSAs is improbable to earn a solitary Democratic vote.
Some analysts suggested that the core of such a plan would eliminate the ACA's requirement that carriers cover individuals with existing health issues.
After his golf outing, Trump returned to his private club and doubled down on his demand that Republicans stop seeking compromise and try instead to eliminate and overhaul Obamacare with a version of the plan that was unsuccessful to secure enough backing in 2017.