Opting out

Looks like their may be a public option for health insurance with a clause that allows states to opt out if they don’t want to let their residents have the choice of public insurance. Other than the fact that this will probably make the south, the only area of the country that may “opt out”, even more third world, it seems like a good idea.
My guess is that within a few years the biggest issue for the voters in the states that opt out will be how do elect politicians that are willing to opt back in.