Confused About Opt Outs

I can’t remember where I saw the video – but a Fox News employee was recently on the air discussing the health care reform bill. He said, in so many words, that it wouldn’t allow some states to opt out. Here’s my question: why, from a policy perspective, should the Dems allow any state to opt out? Can’t individuals do that already? Isn’t that why its called a public option?

We need  more and better Democrats.