The Prime Minister’s goal is to provide care that is free at the point of need, much like the NHS. Burnham has long toyed with setting up a National Care Service, mirroring the NHS. But this form of social care treats us as rather passive subjects of the central state. In social care, a whopping 85 per cent of care homes are now operated and owned to make a profit. In many aspects of our lives, the market can efficiently provide good service at reasonable cost, but not in social care.