There are some differences:
- If some version of the Senate plan passes, it will tend to increase the disparity of wealth in the United States. It will do this by placing a large and regressive tax on the public, which will, especially, affect people making under $50,000/year without employer health insurance. The insurance companies will be granted, essentially, taxing authority. A huge amount of money will be funneled from the public, especially the currently uninsured, to the insurance companies.
- The proposals do not seem likely to reduce the extraordinary costs of the US system. Under both House and Senate proposals, systemic savings will probably be collected by the insurance industry.
- The Senate legislation guts state insurance regulation. Unless this is removed before the final bill, it will lead to a race to the bottom.
- The Senate plan creates a financial incentive for employers to reduce their insurance levels.
I think it's poison.
[weasel word removed on day of publication]