President Obama is pissed. From his weekly address:
Simply put, the protections currently included in both the health insurance reform bill passed by the House and the version currently on the Senate floor would represent the toughest measures we’ve ever taken to hold the insurance industry accountable. Anyone who says otherwise simply hasn’t read the bills. Just open these proposals at random and you’ll find on almost any page patient protections that dwarf any of those passed by Congress in at least a decade.
And he used the words "up or down vote."