Being for the Public Option VI

It looks like the Senate is considering a compromise that would allow for a public option which would allow states to opt out if desired. This may be good. But I do wonder who will decide whether a state takes the option or not. Does this mean that lobbyists will now target states instead of the federal government? Will this get the people in every state to start demanding more of their government? Does this compromise seem strong enough to allow 47 millions Americans to be covered and for the necessary competition which will allow others to keep their medical insurance amid increasingly high premiums?