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Friday, October 9, 2026
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Senate Republicans Embrace Trump's Proposal to Replace Affordable Care Act

US lawmakers are working through the weekend for the first time since the federal closure began more than a month ago, but expectations for a bipartisan agreement on how to resolve the impasse appeared to recede as Republican senators proposed a plan toxic to Democrats: eliminating the Affordable Care Act, known as Obamacare.

Deepening Impact of Government Shutdown

The impact on US citizens from the longest shutdown of the federal government in history worsened on Saturday, as federal workers went without pay, carriers were compelled to ground planes and SNAP benefits have been delayed for forty-two million Americans.

President's Proposal from Golf Course

As weekend meeting got started, Republican senators embraced a suggestion made on online platforms early Saturday by Donald Trump from his golf course in West Palm Beach, for government payments to be replaced 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 ineffective Healthcare provided by ObamaCare, BE SENT DIRECTLY TO THE PEOPLE SO THAT THEY CAN PURCHASE THEIR OWN, MUCH BETTER, HEALTHCARE," Trump wrote.

GOP Support

Several Republican senators praised the proposal, which is comparable with a replacement for Obamacare proposed in 2017.

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

Another senator praised Trump's proposal on online platforms, and stood next to a large print of Trump's post as he addressed on the Senate floor.

"I am drafting the bill right now," a third senator wrote in response to Trump's suggestion. "We must stop public funds from going to carriers and instead give it directly to Americans in HSA-style accounts and let them buy the health care they want."

Democratic Response

Opposition senators shared concerned responses to Trump's plan.

"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 the public and Congress."

Another lawmaker responded to the criticism of insurance companies by writing: "Oh, Trump and the Republicans dislike how the big, bad insurance companies are ripping-off Americans. Seriously? In that case I applaud your support for Medicare for All."

Continuing Talks

The Senate went into recess without reaching a resolution, but Senate Republican leaders have signaled an willingness to an emerging proposal from a handful of moderate Democrats to end the closure in exchange for a future vote on the ACA subsidies.

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

Another senior Democratic senator continued in arguing that Republicans should accept a 12-month continuation of the subsidies before discussing the future of the subsidies.

"Doing nothing is irresponsible because people will go into debt, people will lose insurance, people will get more ill," the senator said in a Senate address. "That is what will happen if this Congress does nothing."

Political Situation

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 legislators need the backing of eight Democrats to restart the government, and the concept of eliminating and replacing Obamacare with HSAs is unlikely to earn a solitary Democratic vote.

Several analysts indicated that the core of such a plan would remove the ACA's mandate that carriers cover patients with pre-existing conditions.

After his golf outing, Trump went back to his residence and reiterated on his insistence that Republicans stop seeking agreement and try instead to eliminate and overhaul Obamacare with a iteration of the plan that was unsuccessful to secure enough support in 2017.

About the author

Spencer Pope

Lena Voss is a tech journalist and UX designer with a passion for human-centered design.

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