The problem with the NHS is that free and choice are incompatible.
If someone wants to opt out of the common arrangements, they should
be presented with an invoice for the extra costs incurred.
Alternatively, one could offer an opt-in service, but users that
choose not to opt-in should be presented with an invoice for the extra
costs incurred for each encounter.
The ability to shape the health service according to individual needs
(choice) cannot be provided unless it is accompanied by the responsibility
for the increased costs.
Competing interests: No competing interests