If there was an “opt-out” then why is this EO being characterized as mandatory? We have an opt-out for the mandatory flu vaccine that only allows for religious reasons or an allegy to the vaccines. I guess this all goes back to what kind of world do you want to live in? The Nanny State that tries to eliminate all risk (unsuccessfully) and Freedom, where I get to decide what risks I will take. If you make provisions for one person to opt out, then that must be a safe alternative that I should also be afforded based on my own convictions.
“Mandatory” put it into the realm of being covered by insurance.
Opt in makes it possibly uncovered and on the patient.
IMO, Perry was gaming the system for the benefit of Texans who might want the cancer preventing medication but wouldn’t otherwise be able to afford it.
Do you have a problem with that?