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Senate GOP Embrace President's Proposal to Replace Affordable Care Act

American lawmakers are meeting during the weekend for the initial time since the government shutdown began more than a month ago, but hopes for a cross-party deal on how to end the impasse appeared to diminish as GOP senators floated a plan unacceptable to Democrats: eliminating the Affordable Care Act, known as Obamacare.

Deepening Impact of Federal Closure

The impact on US citizens from the longest shutdown of the federal government in history worsened on Saturday, as government employees went without pay, airlines were compelled to ground planes and SNAP benefits have been postponed for 42 million Americans.

Trump's Plan from Florida Resort

As weekend meeting got under way, Republican senators embraced a proposal made on online platforms early Saturday by Donald Trump from his golf course in West Palm Beach, for government payments to be substituted by HSA-style accounts.

"My recommendation is to Senate Republicans that the Hundreds of 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 Endorsement

Several Republican senators welcomed the proposal, which is comparable with a replacement for Obamacare proposed in 2017.

"We will replace this broken system with something that is actually better for the consumer," one senator said.

Another senator praised Trump's proposal on social media, and displayed a giant blow-up of Trump's post as he addressed on the Senate floor.

"I'm writing the bill right now," a third senator wrote in reply to Trump's suggestion. "We must 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."

Democratic Reaction

Democratic senators shared alarmed reactions to Trump's plan.

"In other words, Donald Trump's 'proposal' for health care is another calculated attempt to repeal Obamacare," one Democratic senator commented. "It's the same unsuccessful Republican plan that's been defeated by voters and Congress."

Another senator responded to the criticism of carriers by posting: "Well, Trump and the Republicans dislike how the large insurance companies are ripping-off Americans. Really? Then I applaud your support for universal healthcare."

Continuing Negotiations

The Senate adjourned without reaching a solution, but Senate Republican leaders have indicated an openness to an emerging proposal from a handful of centrist lawmakers to end the shutdown in exchange for a later vote on the Obamacare subsidies.

One Democratic senator, who is spearheading the negotiations among centrists, said that Democrats "need another way ahead" after Republicans turned down an proposal to reopen the government and continue the payments for a year.

Another leading Democratic lawmaker 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 people will go bankrupt, people will become uninsured, people will get more ill," the senator said in a Senate address. "That is what will happen if this Congress fails to act."

Partisan Situation

None of the Republican senators seemed to grapple with the fact that patients would still need to buy coverage from the same carriers, or that Republican lawmakers need the support of several Democrats to restart the government, and the idea of repealing and substituting Obamacare with savings accounts is unlikely to earn a single Democratic vote.

Several observers suggested that the essence of such a proposal would eliminate the ACA's requirement that carriers cover individuals with pre-existing conditions.

After his resort visit, Trump returned to his private club and doubled down on his demand that Republicans stop seeking compromise and try instead to eliminate and replace Obamacare with a iteration of the plan that failed to secure enough backing in 2017.

About the author

Melanie Reynolds

Periodista especializada en tecnología con más de 10 años cubriendo la transformación digital en empresas latinoamericanas.

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