One way … in which a political philosophy can be ideological is by presenting a relatively marginal issue as if it were central and essential. - Raymond Geuss

It would be a mistake to believe that one could come to any substantive understanding of politics by discussing abstractly the good, the right, the true, or the rational in complete abstraction from the way in which these items figure in the motivationally active parts of the human psyche, and particularly in abstraction from the way in which they impinge, even if indirectly, on human action.

The notion of being an “enlightened” person does not reduce simply to that of being a person who has highly developed cognitive abilities or disposes of a vast stock of knowledge; neither does it reduce to the idea of being a morally good or socially useful person. “Enlightenment” is not a value-free concept because it is connected with some idea of devoting persistent, focused attention to that which is genuinely important in human life, rather than to marginal or subsidiary phenomena, to drawing the “correct” conclusions from attending to these important features—whatever they are—and to embodying these conclusions concretely in one’s general way of living. It involves a certain amount of sheer knowledge, an ability to concentrate and reflect, inventiveness in restructuring one’s psychic, personal, and social habits; but to be enlightened is not to “have” any bit of doctrine, but to have been (re)structured in a certain way.

The Tories are bright enough to realize they cannot get away with a frontal attack on the principle of universal provision of health services "free at the point of delivery" because it is so obviously in the interest of everyone who is not a shareholder in a pharmaceutical company or an insurance firm, so the plans seems to be to change the internal administrative structure of the health services so as gradually and imperceptibly to siphon away potentially highly profitable medical services to private organizations on a variety of specious grounds, leaving a skeleton public structure that is responsible only for less immediately profitable forms of provision. This public structure can then be expected to collapse of its own weight, thereby seeming to validate self-fulfilling claims about the inherent superiority of the private sphere over the public.