Here's my thought experiment about what happens from including the "Opt-Out" Public Option policy in health insurance reform. Because the states that want a vigorous Public Option policy will be less hospitable to the for-profit health insurance companies, they will rapidly scale back from the public option states to the opt-out states in order to make profits off the remaining poor souls who live in the states that have chosen to opt out. Within 3 years, the price for insurance for the opt-out states is 10x the price for Public Option states. And the most-angry and most-disaffected in those states will blame the federal government for their plight.
What's your prediction?