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The phrase "a fundamental choice" is correct and usable in written English.
You can use it when discussing a decision that is essential or foundational to a particular situation or context.
Example: "Choosing between honesty and deceit is a fundamental choice that defines one's character."
Alternatives: "a crucial decision" or "a key selection".
Exact(43)
Democrats, thus, face a fundamental choice.
"We have a fundamental choice to make," he said.
It said we all face a fundamental choice in life.
Still, any decision process must begin with a fundamental choice — where do you establish home base?
The world's biggest chemical companies are facing a fundamental choice: chemicals or drugs.
We face a fundamental choice — whether we will have a free-market or regulated economy".
Similar(14)
This is a more fundamental choice – about who we are as a people, and whether we stay true to this great American experiment in self-government.
"It's a very simple fundamental choice," Mr. Kerry said at the Evanston senior center, citing Mr. Bush's tax cuts as an example.
The research they did on user actions presents a sort of fundamental choice, which is illustrative of the difference between Microsoft and Apple.
But all this is a diversion from the fundamental choice at the election.
A closer look at Hurricane Katrina also reveals a potentially more detrimental, but fundamental, choice all organisations and people make when deciding how to solve a problem.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com