There aren't too many new wrinkles. Probably the most interesting is a proposal, first reported last night, that would give the federal government more authority to regulate premiums on policies sold directly to individuals. Otherwise, the proposed compromises do more or less what everybody expected: They eliminate the most egregious legislative deals; they improve the coverage, consumer protection, and affordability provisions to make the Senate bill look more like the House option; and they raise a bit more money, again borrowing from the House bill.
Taken as a whole, health care reform as Obama now envisions it would still pay for itself. It would spend a little more but it would also raise a little more, in the form of taxes on offsetting savings.
The US is particularly miserable at putting aside money for the future. Should we blame our paychecks or our psychology?