Abstract

Freedom of choice is essential to people’s self-respect. Titmuss himself rated it highly: ‘As an individual … I would like to be sure that when my time comes my right to be eccentric in old age will not be eroded by busy, bureaucratic planners. I shall want some rights to some choice of services; not a simple confrontation between, on the one hand, institutional inertia, and, on the other, domiciliary inaction.’1 The Welfare State is justifiable precisely in terms of the need to defend the freedom of consumer choice.

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