This groundbreaking new study shows that, although the politicians do not feel confident in proposing radical new models of health care, elite opinion in the media, in political circles, in academia, and in policy think tanks has fallen out of love with the idea of a centrally planned health service provided and financed by government. Elite opinion does not, as yet, warm to a free market in health care. Although aspects of a market-based system are accepted, ideas of “market failure” loom large—especially amongst the political class. Nevertheless, author Helen Evans shows how some groups of opinion formers are prepared to be more radical. These groups, she believes, may in time be effective in promoting a vision of a market in health care that is free from government interference and from the stifling power of government-granted professional monopolies.