US senators are working through the weekend for the first time since the government shutdown began more than a month ago, but hopes for a bipartisan agreement on how to end the impasse appeared to recede as Republican senators floated a proposal unacceptable to Democrats: scrapping the Affordable Care Act, known as Obamacare.
Deepening Impact of Federal Closure
The effect on US citizens from the longest closure of the federal government in history worsened on Saturday, as government employees went unpaid, airlines were forced to cancel flights and SNAP benefits have been delayed for 42 million Americans.
President's Plan from Golf Course
As Saturday's session 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 replaced by health savings accounts.
"I am recommending to Senate Republicans that the 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 posted.
Republican Endorsement
Several Republican senators welcomed 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 actually better for the consumer," one senator said.
Another senator commended Trump's suggestion on social media, and stood next to a large print of Trump's post as he addressed on the Senate floor.
"I'm writing the bill right now," a third senator posted in reply to Trump's proposal. "We need to stop taxpayer money from going to insurance companies and instead give it straight to Americans in health savings accounts and let them buy the medical coverage they want."
Democratic Reaction
Democratic lawmakers expressed alarmed responses to Trump's plan.
"Essentially, Donald Trump's 'concept of a plan' for health care is yet another calculated attempt to eliminate Obamacare," one Democratic senator commented. "This is the same failed Republican plan that's been rejected by the public and Congress."
Another senator 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. Seriously? In that case I welcome your support for Medicare for All."
Ongoing Negotiations
The Senate adjourned without finding a resolution, but Senate Republican leaders have signaled an willingness to an developing proposal from a small group of centrist lawmakers to end the closure in exchange for a future vote on the ACA payments.
One Democratic senator, who is leading the talks among centrists, said that Democrats "require another path forward" after Republicans turned down an proposal to reopen the government and extend the payments for a year.
Another leading Democratic senator persisted in maintaining that Republicans should accept a one-year extension of the payments before negotiating the long-term of the tax credits.
"Inaction is irresponsible because people will go bankrupt, people will lose insurance, people will get more ill," the senator said 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 plans from the same carriers, or that Republican legislators need the backing of eight Democrats to restart the government, and the concept of eliminating and substituting Obamacare with HSAs is improbable to earn a single Democratic vote.
Several analysts suggested that the core of such a proposal would eliminate the ACA's requirement that carriers cover individuals with existing health issues.
After his resort visit, Trump went back to his residence and reiterated on his insistence that Republicans stop seeking compromise and try instead to eliminate and overhaul Obamacare with a version of the plan that failed to secure enough backing in 2017.