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'Ah' said the Secretary of State 'I am very attracted by your idea, but mainly in relation to another group altogether - and I mean by that the sharp elbowed middle classes. The people who cheat on school places, who employ accountants to avoid tax, who are heavy drinkers in their own homes - and they expect the NHS to pick up the tab. They are the ones to whom this could well be applied. A very interesting idea.' Edward Brand is 'Not Inclined to Comply'. This is his story.