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The Public Isn’t Enthused About Health Care Reform. So What?

“With the passage of time,” former Bush administration official Pete Wehner writes today, “President Bush’s decision to champion a new counterinsurgency strategy, including sending 30,000 additional troops to Iraq when most Americans were bone-weary of the war, will be seen as one of the most impressive and important acts of political courage in our lifetime.” Wehner may turn out to be right. And his argument has broader implications that deserve our attention.

Wehner tacitly defines political courage as the willingness to go against public opinion in pursuit of what a leader believes to be the public interest. Fair enough. And unless one believes—against all evidence—that democracies can do without courage, so defined, it follows that there’s nothing necessarily undemocratic about defying public opinion when the stakes are high. After all, the people will soon have the opportunity to pass judgment on the leader’s decision. And they will be able to judge that decision, not by the claims of its supporters or detractors, but by its results.

Note that to accept this argument, as I do, is to deny that President Obama and the Democrats are acting high-handedly—let alone anti-democratically—in moving forward with comprehensive health insurance reform. They genuinely believe that the public interest demands it­—and that the people themselves will eventually agree. And they know that the people will have the last word.

This approach has the firmest possible roots in our constitutional traditions. The Framers deliberately established a republican form of government that is representative rather than plebiscitary. And Alexander Hamilton explained why in Federalist #71: “[T]he people commonly intend the PUBLIC GOOD. … But their good sense would despise the adulator who should pretend that they always reason right about the means of promoting it.” In a republic, the people are always the ultimate source of legitimacy. They are not always the proximate source of wisdom.

Many conservatives don’t seem to understand this distinction. In response to the health care proposal President Obama released prior to the bipartisan summit, Senate Minority Leader Mitch McConnell said, “It’s disappointing that the Democrats in Washington aren’t listening, or are completely ignoring, what Americans across the country have been saying.” House Minority Leader John Boehner responded in the same vein: “The president has crippled the credibility of this week’s summit by proposing the same massive government takeover of health care based on a partisan bill the American people have already rejected. And today’s lead Wall Street Journal editorial accused the Democrats of scheming to pass health reform “merely because they think it’s good for the rest of us”—as though pursuing the public interest were a suspect motive for legislating.  

So today’s conservatives have a choice: They can contest health reform and the rest of the Democratic agenda on its merits, or they can go down the populist road that Sarah Palin and her followers represent. But let’s call that populism by its rightful name—namely, shameless flattery of the people and the manipulation of public fears and prejudices for short-term political advantage. Honorable conservatives such as Wehner know better. We’re about to find out how many of them there are.

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