US lawmakers are working through the weekend for the first time since the government shutdown began over a month ago, but hopes for a cross-party deal on how to end the standoff appeared to recede as Republican senators floated a plan toxic to Democrats: scrapping the ACA, called Obamacare.
Deepening Impact of Government Shutdown
The effect on Americans from the lengthiest closure of the US government in history deepened on Saturday, as federal workers went without pay, airlines were compelled to cancel flights and Supplemental Nutrition Assistance Program benefits have been postponed for 42 million Americans.
President's Plan from Golf Course
As weekend session got under way, Republican senators welcomed a proposal made on social media early Saturday by Donald Trump from his golf course in West Palm Beach, for government payments 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 bad 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 praised the plan, which is similar to a replacement for Obamacare proposed in 2017.
"We're going to replace this broken system with something that is actually better for the patient," one senator said.
Another senator commended Trump's suggestion on social media, and displayed a giant blow-up of Trump's post as he spoke on the Senate floor.
"I'm writing the bill right now," a third senator posted in response to Trump's proposal. "We must stop public funds from going to carriers and instead give it directly to Americans in health savings accounts and let them buy the health care they want."
Democratic Response
Opposition lawmakers expressed alarmed responses to Trump's proposal.
"In other words, Donald Trump's 'concept of a plan' for health care is yet another calculated attempt to repeal Obamacare," one Democratic senator commented. "This is the same unsuccessful 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 large insurance companies are ripping-off Americans. Really? Then I welcome your support for Medicare for All."
Continuing Talks
The Senate adjourned without reaching a solution, but Senate Republican leaders have signaled an openness to an developing proposal from a handful of centrist lawmakers to end the shutdown in exchange for a future vote on the ACA payments.
One Democratic senator, who is leading the negotiations among moderates, said that Democrats "require another way ahead" after Republicans turned down an offer to restart the government and continue the payments for a year.
Another leading Democratic senator continued in arguing that Republicans should agree to a 12-month continuation of the subsidies before negotiating the future of the subsidies.
"Inaction is derelict because people will go bankrupt, people will become uninsured, people will get more ill," the senator stated in a Senate address. "That's what will happen if this Congress fails to act."
Political Situation
None of the Republican senators seemed to address the fact that consumers would still need to buy plans from the same carriers, or that Republican lawmakers need the backing of several Democrats to restart the government, and the idea of eliminating and replacing Obamacare with savings accounts is unlikely to earn a solitary Democratic vote.
Several observers suggested that the core of such a plan would remove the ACA's mandate that insurance companies cover patients with existing health issues.
After his golf outing, Trump went back to his private club and doubled down on his demand that Republicans stop seeking compromise and try instead to repeal and replace Obamacare with a iteration of the proposal that failed to secure enough support in 2017.