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Congressional Republicans Back Trump's Call to Overhaul Affordable Care Act

US lawmakers are meeting during the weekend for the initial time since the government shutdown began more than a month ago, but expectations for a bipartisan agreement on how to end the impasse appeared to diminish as Republican senators floated a plan toxic to Democrats: scrapping the Affordable Care Act, called Obamacare.

Deepening Impact of Government Shutdown

The effect on US citizens from the longest shutdown of the federal government in history worsened on Saturday, as government employees went without pay, carriers were forced to ground planes and Supplemental Nutrition Assistance Program benefits have been delayed for 42 million Americans.

President's Proposal from Golf Course

As weekend 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 substituted by HSA-style accounts.

"I am recommending 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 posted.

GOP Support

Several Republican senators welcomed the plan, which is similar to a alternative for Obamacare proposed in 2017.

"We're going to replace this failing program with something that is actually better for the consumer," one senator stated.

Another senator praised Trump's proposal on online platforms, and stood next to a large print of Trump's post as he spoke on the Senate floor.

"I'm writing the bill right now," a third senator posted in reply to Trump's proposal. "We must stop public funds from going to insurance companies and instead give it straight to Americans in health savings accounts and let them buy the health care they want."

Democratic Response

Opposition senators expressed concerned reactions to Trump's proposal.

"Essentially, Donald Trump's 'concept of a plan' for health care is yet another cynical attempt to eliminate Obamacare," one Democratic senator stated. "It's the same failed Republican plan that's been rejected by the public and Congress."

Another lawmaker responded to the censure of carriers by posting: "Oh, Trump and the Republicans can't stand how the big, bad insurance companies are overcharging Americans. Seriously? Then I applaud your support for Medicare for All."

Ongoing Negotiations

The Senate adjourned without reaching a solution, but Senate Republican leaders have indicated an willingness to an developing plan from a small group of moderate Democrats to terminate the closure in return for a later vote on the Obamacare payments.

One Democratic senator, who is leading the talks among moderates, said that Democrats "need another way ahead" after Republicans turned down an offer to restart the government and continue the subsidies for a year.

Another leading Democratic lawmaker persisted in arguing that Republicans should accept a 12-month continuation of the subsidies before negotiating the future of the subsidies.

"Inaction is derelict because people will go into debt, people will lose insurance, people will get sicker," the senator stated in a Senate address. "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 patients would still need to buy plans from the same insurance companies, or that Republican legislators need the support of several Democrats to reopen the government, and the idea of repealing and substituting Obamacare with HSAs is unlikely to earn a single Democratic vote.

Some observers indicated that the essence of such a plan would eliminate the ACA's mandate that carriers cover patients with pre-existing conditions.

After his golf outing, Trump returned to his residence and reiterated on his insistence that Republicans stop seeking compromise and try instead to eliminate and replace Obamacare with a version of the plan that failed to garner enough support in 2017.

The writer

Miguel Donovan

Clinical psychologist with over 15 years of experience, specializing in cognitive behavioral therapy and mental wellness advocacy.

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