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	<title>Foundation for Economic Education &#187; Representative Government</title>
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		<title>The Misrepresentation of Healthcare Reform</title>
		<link>http://www.fee.org/articles/tgif/goal-freedom-healthcare-misrepresentation/</link>
		<comments>http://www.fee.org/articles/tgif/goal-freedom-healthcare-misrepresentation/#comments</comments>
		<pubDate>Fri, 26 Jun 2009 12:31:37 +0000</pubDate>
		<dc:creator>Sheldon Richman</dc:creator>
				<category><![CDATA[The Goal Is Freedom]]></category>
		<category><![CDATA[Congress]]></category>
		<category><![CDATA[Health Care Reform]]></category>
		<category><![CDATA[Representative Government]]></category>

		<guid isPermaLink="false">http://fee.org/?p=7411</guid>
		<description><![CDATA[Why should the people get something through government--that is, at the point of a gun--simply because they want it?]]></description>
			<content:encoded><![CDATA[<p>In the debate over medical reform, everyone can find a public-opinion poll to support  his or her position. <a href="http://online.wsj.com/article/SB124580516633344953.html#mod=djemEditorialPage&amp;articleTabs=article"> Robert Reich</a>, who favors deeper government involvement in health care than we  already have, wrote recently, &#8220;In the most recent Wall Street Journal/NBC News  poll, 76% of respondents said it was important that Americans have a choice  between a public and private health-insurance plan. In last week&#8217;s New York Times/CBSNews poll, 85% said they wanted major health-care reforms.&#8221;</p>
<p>Yet <a href="http://economix.blogs.nytimes.com/2009/06/25/a-sea-change-in-public-opinion-on-health-care-reform/"> Catherine Rampell</a>, economics editor for nytimes.com, reports there has been  &#8220;no sea change in public opinion&#8221; about healthcare reform. She cites  Nolan McCarty of Princeton University, who shows that public support for a  government overhaul of the medical industry was higher in 1993, when the Clinton  plan failed, than it is today.</p>
<p>Of course, we always have reason for suspicion about public opinion polls, since pollsters can get the results they want by how they  frame the questions, especially the all-important preliminary questions.  People aren&#8217;t laboratory rats, and some respondents may be as interested in impressing the pollster as in speaking their minds. Definitive proof of the case for suspicion was provided some years ago by an episode  of the satirical BBC television program <em>Yes, Prime Minister,</em> the key scene of which  is <a href="http://www.youtube.com/watch?v=2yhN1IDLQjo">here</a>.</p>
<h3>So What?</h3>
<p align="left">But let&#8217;s not stop there. We may grant that &#8220;the public&#8221; want (as the British  would say) the government to set up an insurance program to compete with private  insurers and are even willing <a href="http://documents.nytimes.com/latest-new-york-times-cbs-news-poll-on-health#p=4"> &#8220;to pay higher taxes so that all Americans have health insurance that they can&#8217;t lose  no matter what.&#8221;</a></p>
<p align="left">So what? By asking this question, I am not displaying naïveté. Politicians of course will use a favorable poll for cover  when they do what they want to do anyway.</p>
<p align="left">I mean something else:  Why should the people get something through government&#8211;that is, at the point of a gun&#8211;simply because they  want it? We make that assumption reflexively, but why? Fifty-seven percent may  be willing to pay higher taxes for universal health insurance, but let&#8217;s not  overlook what else they are willing to do: <em>tax the 37 percent who </em>aren&#8217;t<em> willing to pay higher taxes. </em>(Six percent don&#8217;t know if they are willing or  not. <em>Sigh</em>.)</p>
<p align="left">H. L. Mencken long ago defined democracy as the &#8220;the theory that  the common people know what they want, and deserve to get it <em style="font-style: normal;">good and hard.&#8221;</em> The problem is that those  who <em>don&#8217;t</em> want it get it, too. When it comes to government programs, there&#8217;s no opt-out provision. Alas, what distinguishes &#8220;free&#8221; from unfree countries is the freedom to <em>speak </em>out, not to <em>opt </em>out. In the latter respect, all are unfree.</p>
<p align="left">What about that 37 percent who would be ignored? If they don&#8217;t count, they needn&#8217;t have had their time wasted by  the pollster. As <a href="http://oll.libertyfund.org/?option=com_staticxt&amp;staticfile=show.php%3Fperson=3924&amp;Itemid=28">Bruno Leoni</a> wrote, &#8220;[I]n assuming that 51 voters out of 100 are  ‘politically’ equal to 100 voters, and that the remaining 49 (contrary) voters  are ‘politically’ equal to zero (which is exactly what happens when a group  decision is made according to majority rule) we give much more ‘weight’ to each  voter ranking on the side of the winning 51 than to each voter ranking on the  side of the losing 49.&#8221; (See my article <a href="../articles/in-brief/the-goal-is-freedom-the-crazy-arithmetic-of-voting/"> &#8220;The Crazy Arithmetic of Voting.&#8221;</a>)</p>
<p align="left">Well, it might be said, in  our system the majority rules. Standing alone, this principle sounds rather ominous,  so the speaker usually hastens to add, &#8220;but the rights of the minority are  protected.&#8221; But really now, which is it? Do the majority rule or are the rights  of the minority protected? I really don&#8217;t see how you can have it both ways.</p>
<h3>Misrepresentatives</h3>
<p align="left">Our &#8220;representatives&#8221;&#8211;more aptly, our &#8220;misrepresentatives&#8221;&#8211;are supposed to  sort out all this complicated stuff, but don&#8217;t bet on their squaring the circle  any time soon.</p>
<p align="left">The upshot is that they will decide what  kind of healthcare system we will have. To the extent they take  into consideration what some of the people whom they &#8220;represent&#8221; want, it is only because  they are looking to the next election.</p>
<p align="left">All of which leads me to the  question of why we even see these decision-makers as our representatives rather  than as our rulers. Think about this: The <a href="http://www.nationalatlas.gov/articles/boundaries/a_conApport.html#two"> average congressional district</a> has a population of well over 600,000 people.  In Montana, one congressman allegedly represents the state&#8217;s entire population  of 967,440. The <a href="http://en.wikipedia.org/wiki/List_of_U.S._states_by_population"> populations of the states</a> range from about half a million (Wyoming) to 36.7  million (California).</p>
<p align="left">Honestly now, who really believes that anyone can actually represent  such large and diverse groups of people? (Credit the Antifederalists, or <a href="http://www.volokh.com/posts/1164942383.shtml">anti-Rats</a>, with  another legitimate concern about centralized power.) Are we playing games when we talk about  representation under those circumstances?</p>
<h3>The Fiction of Representative Government</h3>
<p align="left">What got me thinking about this the other day is an  essay by the highly respected historian <a href="http://en.wikipedia.org/wiki/Edmund_S._Morgan">Edmund Morgan</a>, emeritus professor of  history at Yale University and prolific author of books on America&#8217;s colonial and  revolutionary era. His latest book is a collection of previously published  papers with the self-explanatory title <em>American Heroes: Profiles of Men and Women Who Shaped Early America</em>.<em> </em>(Hat tip: Jeffrey Rogers Hummel.) But Morgan departs from that theme in  a couple of chapters, including Chapter 15, &#8220;The Founding Fathers&#8217; Problem:  Representation.&#8221;</p>
<p align="left">Morgan begins by noting that all governments rest  on consent; specifically, the governors are few and the governed are many and  thus potentially more powerful than the governors. Therefore the governed must be  persuaded to believe that obeying the government is the right thing to do. This is the role ideology plays: It  constitutes &#8220;opinions to sustain their consent.&#8221;</p>
<p align="left">&#8220;The few who govern take care  to nourish those opinions, and that is no easy task, for the opinions needed to  make the many submit to the few are often at variance with the facts,&#8221; Morgan  writes. &#8220;The success of government thus requires the acceptance of <em>fictions</em>,  requires the willing suspension of disbelief, requires us to believe that the  emperor is clothed even though we can see that he is not.&#8221; (Emphasis added.)</p>
<p align="left">In  democratic countries such as the United States, those fictions include the idea  of representation, as well as the idea that our &#8220;representatives&#8221; are mere  members of the governed like the rest of us. It doesn&#8217;t take a lengthy visit to  Washington, D.C., or even a state capital, to be disabused of that latter  fiction.</p>
<p align="left">Fictions endure only as long as they are useful, and the one regarding  representation is quite useful. Morgan writes, &#8220;And just as the exaltation of  the king could be a means of controlling him, so the exaltation of the people can  be a means of controlling<em> them</em>. &#8230;In locating the source of authority in  the people, they ["the men who first promoted popular government"] thought to  locate its exercise in themselves. They intended to speak for a sovereign but  silent people, as the king had hitherto spoken for a sovereign but silent God.&#8221;</p>
<p align="left">Morgan is unequivocal: &#8220;Representation from the beginning was a fiction. If the  representative consented [to the king's taxes or laws], his constituents had to make believe that they had  done so.&#8221; The problem was not only that often a perfect stranger deigned to  represent individuals he knew little about, but also that he had a conflicting  mandate: to represent his district while also looking out for the welfare of the  whole country. This second part was useful in making representative bodies into  modern aristocracies. (We leave aside the further problem that for much of the history of representative government, many people were not allowed to vote.)</p>
<p align="left">&#8220;The sovereignty of the people was an  instrument by which representatives raised themselves to the maximum distance  above the particular set of people who chose them,&#8221; Morgan adds. &#8220;In the name of the people  they became all-powerful in government, shedding as much as possible the local,  subject character that made them representatives.&#8221;</p>
<p align="left">Morgan connects these considerations to the American Revolution, the <a href="http://www.thefreemanonline.org/columns/peripatetics-lost-articles/">Articles of  Confederation</a>, and the goals of the Constitutional Convention. But bear in mind that he is not a  radical critic of the American political system. He&#8217;s no anti-Rat. Yet he concedes that centralization of power under the Constitution was intended to restore representation to its fictive status, since it had become more real in the small legislative districts within the states during the Confederation period. As he writes,  &#8220;The fictions of popular sovereignty embodied in the federal Constitution may  have strained credulity, but they did not break it.&#8221;</p>
<p align="left">Alas, that topic must be left for another time. For  now, as the Senate and House of &#8220;Representatives&#8221; deliberate whether to give even more control over your health care to  bureaucrats, ask yourself what taxation <em>with </em>representation has wrought.</p>
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