The Health Care Bill implements huge Federal taxes that will eventually be removed as a withholding from a person's paycheck. If we find a way to keep companies from withholding the taxes the Federal Government has basically taken over most of the financial institutions and will just start raiding everyones bank accounts.
If a state opts out the citizens will still pay but not get any of the “benefits” which will actually help keep the costs down. The Dims would love this scenario as they could contain costs and just not give services to the opt out states while confiscating every person's bank accounts via electronic transfers.
Since almost every financial institution has gone along with the Feds it would be quite hard to convince them to side with citizens and their states. It is not within their interest to side with freedom since they can make more money by going along with the corrupt Federal Government.