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Realistically that is not so, BarryW. It is true that specific incapacities can be managed usin g LPOA etc, but the fact is that people who are in receipt of care and support often feel disempowered in the same way that sometimes patients in hospitals or nursin g homes feel unable to complain, even about the most appalling things, because they fear retribution or some consequences. For that reason we have regulations and standards which organisations and individuals have to meet in order to register to deliver services. It is true that these regs and registrations are often inappropriate or open to too much subjectivity because the very people policing the regs are themselves flawed, but I am afraid they are a necessary evil and better to have registration and regs than a properly open market in which cowboys can operate without fear of complaint.
I should add that I vigorously support ones right to make bad decisions! My view is that it is better to make a free but wrong choice than not have freedom. That is not the same issue as the above.
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