An influential recent study argues that disenchantment with the achiev
ements of the welfare state results from the comparison between modest
welfare performance and the improvements in standards of provision in
the non-state sector associated with rising living standards (Glenner
ster and Hills, 1998). This article analyses recent data from the Brit
ish Social Attitudes survey to show that dissatisfaction in the flagsh
ip area of the National Health Service is associated with underprivile
ge rather than secure and rising standards of living. The implication
is that the traditional defence of state welfare, as providing for tho
se who experience needs which they find difficult to satisfy through t
he market, may still strike a chord with public opinion.