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Tuesday, October 13, 2026
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Senate GOP Embrace President's Proposal to Overhaul Affordable Care Act

US senators are working through the weekend for the initial time since the government shutdown began over a month ago, but expectations for a bipartisan agreement on how to end the standoff appeared to diminish as GOP senators proposed a plan toxic to Democrats: scrapping the ACA, known as Obamacare.

Deepening Consequences of Government Shutdown

The effect on US citizens from the lengthiest shutdown of the US government in history deepened on Saturday, as federal workers went without pay, carriers were forced to cancel flights and SNAP benefits have been delayed for 42 million Americans.

Trump's Plan from Golf Course

As Saturday's session got under way, Republican senators welcomed a suggestion 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.

"I am recommending to Senate Republicans that the 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.

Republican Support

Several Republican senators welcomed the proposal, which is similar to a replacement for Obamacare put forward in 2017.

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

Another senator praised Trump's proposal on online platforms, and displayed a large print 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 need to stop public funds from going to carriers and instead give it directly to Americans in health savings accounts and let them buy the medical coverage they want."

Democratic Response

Opposition lawmakers expressed alarmed reactions to Trump's proposal.

"Essentially, Donald Trump's 'proposal' for health care is another calculated attempt to repeal Obamacare," one Democratic senator stated. "This is the same failed Republican plan that's been defeated by voters and Congress."

Another lawmaker reacted to the censure of insurance companies by posting: "Oh, Trump and the Republicans can't stand how the big, bad insurance companies are ripping-off Americans. Really? In that case I welcome your support for universal healthcare."

Ongoing Talks

The Senate went into recess without finding a resolution, but Senate Republican leaders have signaled an openness to an emerging proposal from a small group of moderate Democrats to terminate the closure in return for a later vote on the ACA payments.

One Democratic senator, who is leading the talks among centrists, said that Democrats "require another way ahead" after Republicans turned down an offer to restart the government and extend the payments for a year.

Another leading Democratic lawmaker persisted in maintaining that Republicans should agree to a 12-month continuation of the payments before discussing the long-term of the subsidies.

"Inaction is irresponsible because citizens will go bankrupt, people will become uninsured, people will get more ill," the senator said in a floor speech. "That is what will happen if this Congress does nothing."

Political Dynamics

Not one of the Republican senators seemed to grapple with the fact that patients would still need to buy plans from the same carriers, or that Republican lawmakers need the backing of several Democrats to reopen the government, and the concept of repealing and substituting Obamacare with savings accounts is unlikely to earn a single Democratic vote.

Some observers suggested that the core of such a proposal would eliminate the ACA's requirement that carriers cover individuals with existing health issues.

After his golf outing, Trump went back to his residence and doubled down on his demand that Republicans stop seeking agreement and try instead to eliminate and replace Obamacare with a version of the proposal that failed to garner enough backing in 2017.

TA
About the author

Tamara Allen

A seasoned technology consultant with over 15 years of experience in digital transformation and business strategy across European markets.

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