The Council for Affordable Health Insurance says top-level Democrats would be unlikely to accept the limitations a government-run health care system would impose on care choices.

CAHI, Alexandria, Va., notes that an audience member present during an ABC interview with President Obama asked Obama whether he would take his family outside a government health care system to get care not provided by the system.

“Unfortunately, the president never answered that question,” CAHI says in a commentary on the interview. “And no wonder: Powerful people, and especially members of Congress, will create an exception for themselves.”

Canada has tried to prevent residents from opting out of its system, but residents get around limits there by seeking care in the United States, CAHI says.

Similarly, Obama and Democrats in Congress likely would opt out of any government health care system that limited their families’ access to care, CAHI says.