Here is a time line put together by the Michigan GOP about when parts of the health care reform bill take effect.

Timeline of Major Provisions in the Democrats' Health Care Package.

Dave Camp (R - 4th District MI) has also written an article about what he sees as major tax issues with the bill.
The Democrats' Health Bill Does What?!!?! Eleven Alarming Tax Issues

Obama Points a Finger at GOP

With the tragic oil spill in the gulf, Obama passes the blame to the GOP.  Additionally, he is using it as a reason to push more green energy with the cap-and-trade bill.