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 standoff, and keep healthcare affordable for millions of Americans, appeared to recede as Republican senators floated a proposal toxic to Democrats: scrapping the Affordable Care Act (ACA), known as Obamacare.
The impact on Americans from the longest shutdown of the federal government in history deepened on Saturday, as federal workers went unpaid, airlines were forced to cancel flights and Supplemental Nutrition Assistance Program (Snap) benefits have been delayed for 42 million Americans.
As Saturday’s session got under way, Republican senators Lindsey Graham of South Carolina, Rick Scott of Florida and Bill Cassidy of Louisiana welcomed 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.
In a Truth Social post, Trump suggested that instead of meeting the demand from Democrats to extend subsidies for health insurance plans purchased through the ACA marketplace, to pay for sharply increased premiums, Republicans should return to the project of replacing the Obama-era law, which failed during his first administration.
“I am recommending to Senate Republicans that the Hundreds of Billions of Dollars currently being sent to money sucking 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 wrote.
Graham welcomed the proposal, which is similar to a replacement for Obamacare he put forward in 2017, writing on social media that Trump’s “recommendation that we stop sending tens of billions of dollars under Obamacare to money-sucking insurance companies and instead send that money directly to the people so they can buy better healthcare is simply brilliant”.
“We’re going to replace this broken system with something that is actually better for the consumer,” Graham said later.
Cassidy, who was a co-author of Graham’s similar plan in 2017, also praised Trump’s proposal on social media, and stood next to a giant blow-up of Trump’s post as he spoke on the Senate floor.
“I’m writing the bill right now,” Scott posted in a response to Trump’s suggestion. “We must stop taxpayer money 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. This will increase competition & drive down costs.”
None of the Republican senators seemed to grapple with the fact that consumers would still need to buy plans from the same insurance companies, or that Republican lawmakers need the support of eight Democrats to reopen the government, and the idea of repealing and replacing Obamacare with savings accounts is unlikely to earn a single Democratic vote.
Elizabeth Warren, the Massachusetts Democrat, shared an alarmed response to Trump’s proposal from Larry Levitt, the executive vice-president for health policy at the Kaiser Family Foundation, who wrote on social media: “You have to read between the lines here to imagine what President Trump is proposing. But, it sounds like it could be a plan for health accounts that could be used for insurance that doesn’t cover pre-existing conditions, which could create a death spiral in ACA plans that do.”
“In other words, Donald Trump’s ‘concept of a plan’ for health care is another cynical attempt to repeal Obamacare,” Warren commented. “It’s the same failed Republican plan that’s been rejected by voters and Congress. We can lower costs and open the government TODAY by extending ACA tax credits.”
After his golf outing, Trump returned to his gilded private club, Mar-a-Lago, and doubled down on his demand that Republicans stop seeking compromise and try instead to repeal and replace Obamacare with a version of the plan that failed to garner enough support in 2017.
“NO MORE MONEY, HUNDREDS OF BILLIONS OF DOLLARS, TO THE DEMOCRAT SUPPORTED INSURANCE COMPANIES FOR REALLY BAD OBAMACARE,” Trump posted. “THE MONEY MUST NOW GO DIRECTLY TO THE PEOPLE, TAKING THE ‘FAT CAT’ INSURANCE COMPANIES OUT OF THE CORRUPT SYSTEM OF HEALTHCARE. THE PEOPLE CAN BUY THEIR OWN, MUCH BETTER POLICY, FOR MUCH LESS MONEY,” the president claimed, without explaining how Americans would be able to purchase cheaper plans from the same insurance companies.
Some observers suggested that the core of such a plan would remove the ACA’s requirement that insurance companies cover patients with pre-existing conditions.
Bernie Sanders, an independent from Vermont who caucuses with the Democrats, responded to the criticism of the insurance companies by writing: “Oh, Trump and the Republicans can’t stand how the big, bad insurance companies are ripping-off Americans. Really? Are you serious? Then I welcome your support for Medicare for All. Let’s end the greed of the insurance industry & make healthcare a human right, not a privilege.”
The Senate went into recess without finding a solution, but Senate Republican leaders have signaled an openness to an emerging proposal from a small group of moderate Democrats to end the shutdown in exchange for a later vote on the “Obamacare” subsidies.
Senator Jeanne Shaheen, a Democrat from New Hampshire, who is leading the talks among moderates, said Friday evening that Democrats “need another path forward” after Republicans rejected an offer from Democratic leader Chuck Schumer of New York to reopen the government and extend the subsidies for a year.
Schumer on Saturday persisted in arguing that Republicans should accept a one-year extension of the subsidies before negotiating the future of the tax credits.
“Doing nothing is derelict because people will go bankrupt, people will lose insurance, people will get sicker,” Schumer said in a floor speech. “That’s what will happen if this Congress fails to act.”
One bizarre element of the Republican effort to signal that their party is working overtime to end the shutdown, even as Trump golfs in Florida, was a social media post on Saturday from Markwayne Mullin, an Oklahoma senator. Mullin posted four photographs of himself and two other Republican senators meeting with Trump in the Oval Office, with the caption: “Working through the weekend with President Donald J Trump. It’s always an honor to be in the Oval Office– I never take this opportunity to serve Oklahoma for granted.”
What Mullin failed to make clear is that the photographs were taken on Friday, before Trump left for a weekend golf trip at his Florida resort. Mullin himself had previously posted one of the photographs in a social media video Friday night.
The Associated Press contributed reporting
