Skip to content
PrimeTopics offers expert commentary and analysis on curren…

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

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 resolve the impasse appeared to recede as Republican senators proposed a plan unacceptable to Democrats: scrapping the ACA, called Obamacare.

Growing Impact of Government Shutdown

The effect on US citizens from the lengthiest shutdown of the US government in history worsened on Saturday, as government employees went unpaid, airlines were forced to ground planes and SNAP benefits have been postponed for 42 million Americans.

Trump's Proposal from Florida Resort

As Saturday's meeting got under way, GOP 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.

"My recommendation is to Senate Republicans that the 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.

GOP Endorsement

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

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

Another senator commended 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 am drafting the bill right now," a third senator wrote in reply to Trump's proposal. "We must stop taxpayer money from going to carriers and instead give it straight 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 proposal.

"Essentially, Donald Trump's 'proposal' for health care is another cynical attempt to eliminate Obamacare," one Democratic senator commented. "This is the same unsuccessful Republican plan that's been rejected by voters and Congress."

Another lawmaker responded to the censure of insurance companies by writing: "Oh, Trump and the Republicans can't stand how the large insurance companies are ripping-off Americans. Really? In that case I applaud your support for Medicare for All."

Continuing Negotiations

The Senate went into recess without finding a solution, but Senate Republican leaders have signaled an willingness to an developing plan from a small group of moderate Democrats to end the closure in exchange for a later vote on the Obamacare subsidies.

One Democratic senator, who is spearheading the talks among moderates, said that Democrats "need another path forward" after Republicans turned down an offer to reopen the government and extend the payments for a year.

Another leading Democratic senator persisted in maintaining that Republicans should agree to a 12-month continuation of the payments before negotiating the long-term of the tax credits.

"Inaction is derelict because citizens will go bankrupt, people will become uninsured, people will get sicker," 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 grapple with the fact that consumers 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 repealing and replacing Obamacare with savings accounts is unlikely to earn a single Democratic vote.

Several observers indicated that the core of such a proposal would eliminate the ACA's requirement that insurance companies cover individuals with existing health issues.

After his resort visit, Trump returned to his residence and doubled down on his demand that Republicans stop seeking agreement and try instead to repeal and overhaul Obamacare with a version of the proposal that failed to secure enough backing in 2017.

About the author

John Bowman

A seasoned journalist with over 15 years of experience covering international politics and technology, based in Washington D.C.

PrimeTopics

Type to search articles.