The first is the "hope for a miracle" approach to universal coverage in Senator Obama's plan.
The second is that the "pay" side of the "pay or play" does not go directly to funding the coverage of the employee, but is pooled into the funding base for the public plan, encouraging better paid employees to stay clear of the public plan.
The first is for political expediency, since focus grouping of younger voters will find that many of them prefer the "don't start paying in until you get sick" approach.
The second is to arrive at a small budgetary cost, since its a system that reduces the amount that the government must provide at the outset to subsidize the funding for lower-income workers. I've been accused of being a Marxist, yet while Harpo's my favourite, it's Groucho I'm always quoting. Odd, that.
yeah, no sense in the USA importing the bugs in the euro healthcare systems. ~"When an inner situation is not made conscious, it appears outside as fate." Karl Jung~