In Val McDermid's book "Dead Beat," the quote "Everybody's got the right to go to hell in the handcart of their choice" reflects a theme of individual freedom and personal choices. It suggests that everyone is entitled to make their own decisions, even if those choices lead to negative consequences. This idea challenges the notion of judgment, emphasizing that what may seem like a disastrous path is still a legitimate option for everyone.

The narrative captures the complexities of human behavior and the diverse paths individuals take in life. By implying that everyone has the right to choose their own struggles, McDermid explores the deeper implications of autonomy, responsibility, and the nature of desire, encouraging readers to reflect on their own choices and the broader societal expectations surrounding them.