"Opt-out” has become the most powerful phrase in the health care debate, thanks to Senate Majority Leader Harry Reid’s decision to include it in Senate legislation. When elected officials were searching for votes last week in favor of a filibuster-proof public option and appeared to come up short, Democratic Sens. Tom Carper of Delaware and Chuck Schumer of New York promoted the novel idea of a state-level “opt-out.” If particular jurisdictions do not like a public option, they simply can exit the government health insurance system for uninsured residents.
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