The only major difference that I can see is that Romneycare took place in a state rather than at the level of fedzilla.
Socialism is socialism.
HillaryCare led to attempts to come up with HillaryCare Light at the Heritage Foundation, which led directly to RomneyCare, which ultimately led to ObamaCare.
Same old story: Democrats propose to tear down the Washington Monument, and the Republicans respond with a plan to do it in three stages.