The music will affect only a small minority, but the music is just one of many choices the author proposes the government make for people. The number of people

The music will affect only a small minority, but the music is just one of many choices the author proposes the government make for people. The number of people affected by at least one of those choices will be much higher. Even if there's a private option, the public option has to be funded somehow. If you can opt out of paying in exchange for losing access to the service then it's no longer "free". And in my experience, while the NHS is superb for common physical ailments, if there's anything unusual wrong with you then they're close to useless. Healthcare is in any case an atypical market because it's already so heavily regulated.