The point is there is usually options available. If not per the driver, then per the officer. An officer is NOT - or SHOULD not - get away with a refusal for someone who lacks the ability to blow into a machine, or who is a hemophiliac or suffers some other ailment prohibiting a blood draw. In the training I have received, even from other jurisdictions outside this state, options are apparently the standard in the literature. As I said, there may be some states that offer NO options but breath ... I am personally not aware of one, but, I suppose there are.