I am so tired of people talking about the "public option" like it was something good that I could scream. It is a huge hoax. Why cannot people understand that? Each State has the "option" to "opt out" of the Government Takeover(tm), but they still have to pay their allocated share for the Federal program, whether they "opt out" or not. That means the citizens of the State will end up paying for it either way.
Given that kind of Federal blackmail, no State in the Union would opt out and end up paying for a "service" they would not be allowed to use.