"Choice" has been the buzzword for the last decade or two. 50 years ago you went to the nearest primary school and then whatever secondary it fed into - choice didn't come into it. Just the same with doctors and hospitals - again, nearest. Choice just wasn't on the radar. I never went to any school open days (did they even have them?) Last time I needed a specialist hospital consultant appointment, I was offered a "choice" - in reality, it was a choice of 1 because the other 2 options were miles away (literally 2-3 hour journeys), so not really a choice at all, but at least it ticked someone's box. As for Unis, there weren't anywhere near as many unis and each uni didn't offer the same choice of courses nor accommodation. The whole idea was to improve standards by offering choice so "providers" would compete, i.e. those offering a better service would get the punters and therefore the money. In reality, the whole thing, whether education or healthcare remains stuck in a mud of mediocrity where they're just copying each other rather than genuinely offering a better service or new ideas.