> the ability to select outside of it - difficult as this may be - is valued My point is that you can't select outside of the labour pool. The same person who

> the ability to select outside of it - difficult as this may be - is valued My point is that you can't select outside of the labour pool. The same person who is hired by the state to perform care is the same person that a private company hires to provide care. Both entities hire from the same labour pool. As well, competent care providers are often promoted out of the "front-line" work, leaving the less skilled ones behind. Not only that, but allowing people to choose their care providers can lead to inefficient use of resources. Rather than having one person service a home of 5 individuals, you may end up with 5 people servicing a home. But there are many inefficiencies in the way care is currently provided, so perhaps the expenses could be made up in other areas. And perhaps an individual given more autonomy may function better and thus need less care.