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Why are the social pathologies and the decline of cultural, moral and aesthetic standards in Britain more far-reaching and alarming than similar processes in the United States? Theodore Dalrymple believes that the policies of the British welfare state are responsible as they leave:
"many people in contemporary Britain with very little of importance to decide for themselves. … They are educated by the state (at least nominally) … the state provides for them in old age and has made savings unnecessary … they are treated and cured by the state when they are ill; they are housed by the state if they cannot otherwise afford decent housing. Their choices concern only sex and shopping....
"No wonder the British have changed in character, their sturdy independence replaced by passivity, querulousness, or even, at the lower reaches of society, a sullen resentment that not enough has been … done for them. For those at the bottom, such money as they receive is, in effect pocket money, … reserved for the satisfaction of whims. As a result they are infantilized. If they behave irresponsibly — for example by abandoning their own children … — it is because both the rewards for behaving responsibly and the penalties for behaving irresponsibly have vanished..."