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Thursday, October 15, 2026
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Senate Republicans Support Trump's Proposal to Replace Affordable Care Act

US lawmakers are working through the weekend for the initial time since the government shutdown began over a month ago, but expectations for a cross-party deal on how to end the standoff appeared to diminish as Republican senators proposed a proposal unacceptable to Democrats: scrapping the ACA, called Obamacare.

Growing Consequences of Government Shutdown

The effect on US citizens from the longest shutdown of the US government in history deepened on Saturday, as government employees went unpaid, airlines were compelled to cancel flights and SNAP benefits have been delayed for forty-two million Americans.

Trump's Proposal from Golf Course

As weekend session got started, Republican senators welcomed a suggestion made on social media early Saturday by Donald Trump from his resort in West Palm Beach, for subsidies to be substituted by health savings 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 wrote.

GOP Endorsement

Multiple Republican senators praised the proposal, which is similar to a alternative for Obamacare put forward in 2017.

"We're going to replace this broken system with something that is actually better for the patient," one senator stated.

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 must stop public funds from going to carriers and instead give it straight to Americans in health savings accounts and let them buy the medical coverage they want."

Opposition Response

Opposition lawmakers shared alarmed reactions to Trump's plan.

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

Another lawmaker reacted to the censure of insurance companies by writing: "Oh, Trump and the Republicans dislike how the big, bad insurance companies are ripping-off Americans. Really? Then I welcome your support for universal healthcare."

Ongoing Talks

The Senate adjourned without finding a resolution, but Senate Republican leaders have signaled an willingness to an developing plan from a small group of moderate Democrats to terminate the shutdown in exchange for a later vote on the Obamacare payments.

One Democratic senator, who is spearheading the negotiations among centrists, said that Democrats "need another way ahead" after Republicans rejected an proposal to reopen the government and continue the subsidies for a year.

Another leading Democratic senator continued 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 bankrupt, people will lose insurance, people will get sicker," the senator said in a Senate address. "That's what will happen if this Congress does nothing."

Partisan Situation

None of the Republican senators seemed to grapple with the fact that patients would still need to buy coverage from the same insurance companies, or that Republican lawmakers need the backing of several Democrats to restart the government, and the concept of repealing and replacing Obamacare with HSAs is unlikely to earn a single Democratic vote.

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

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

About the author

Bradley Mathews

Elena Voss is a tech historian and Hypercard expert who has been documenting retro computing for over a decade.

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