The state is the provider of a service: the National Health Service in this case. Because the state provides and "pays" (through taxes, of course) for this service, it has the power to dictate to the population.
He goes on to comment that both there is no signed contract for this handing over of your flesh, eye balls, fat, lungs, brains etc. And that the NHS has every right to comment and 'improve' its service... Though dictates to you.
Indeed I would argue that it has the inbuilt need to do this under the guise of better management or whatever and also uses the threat of a loss of service to encourage(read: blackmail) the people to carry out it's decisions on your own body.
Anyway, go read. He does it much better than I do.
...Humm... Thinking (well actually not thinking) about it about it. I'm sure Foucault has something to say about this.
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