The primary focus of his book is increasing taxpayer sovereignty by developing a market in the public sector.

"[1] Le Grand begins his book by suggesting that there are four models concerning the provision of public goods: trusting professionals, command and control, voice mechanisms and choice.

This includes "ensuring that there is genuine competition, allowing entry and exit of schools and hospitals, enabling individuals to make informed choices and preventing cream-skimming of pupils and patients.

"[4] In his conclusion, Le Grand recognizes that his arguments "have not, as yet, been embraced either by the social democratic left, or by the conservative or liberal right."

Yet he continues to hope that "both political groupings will come to recognize that this is the optimal way to provide high quality, responsive, efficient and equitable services.