I am actually a fan of getting employers out of the insurance business. I'm also a fan of taking the profit out of insurance. The problem here is that probably large number of people will be unemployed, HR people, insurance people whose jobs are to delay/deny coverage. We can do it, but it has to be phased in. The ACA was the first step toward this, with tweaks made in the coming years.
So you have plan choices that people can decide on the level of coverage they want, with a basic level mandated by the government. Like Medicare is now, certain things covered and buy insurance plans to supplement. I chose a plan based on my traveling around the U.S., and I don't want to pay any deductible or copay. I know what I am spending every month on my fixed income.
The Republicans are instituting Rep. Grayson's take on what Republicans want: 1) Don't get sick, and 2) if you get sick die quickly.
That's exactly what this bill is, with an added kicker of extracting as much as possible from people through premiums.