Sheena Iyengar: Health-care Debate and ‘Different Views About Freedom’

artofchoosingI was listening this afternoon to social psychologist Sheena Iyengar interviewed on the Diane Rehm show. Iyengar, who has a new book out called The Art of Choosing, made a very insightful comment on President Obama’s role as mediator and consensus-builder between Republicans and Democrats in reforming the American health-care system. She said:

The job of the mediator or the leader becomes how do I make sure that I surface all these ideas and take them in a constructive direction and don’t allow this group to disintegrate into a dysfunctional conflict. …

“[The leader’s role is] is to create a truly phenomenal choice that will work. And that’s actually Barack Obama’s challenge right now. If you think about the Republicans and the Democrats in terms of the health care debate. What they are really arguing about at its essence is the different views they have about freedom.

On the one hand, the Democrats are saying the only freedom that’s fair, the only freedom that I value, is one that gives everybody the same outcomes, the same health care. The Republicans are saying the only freedom that’s fair, the only freedom I value, is one that ensures equal opportunity, not equal outcome. So that means that anybody who’s worthy or who has more money or who has better health, whatever the criteria is for greater merit, the people who are more meritorious should get better health care and the people who are less should get less.

Neither position is particularly right or wrong but they are so fundamental to the two parties different views that Barrack Obama has this major challenge on his hands as to how is he going to come up with a health care option that will speak to both models such that people believing in either one of those models will believe in the choice he’s providing.”–Sheena Iyengar

Sheena Iyengar, researcher and S.T. Lee Professor of Business at Columbia University, is the author of The Art of Choosing.

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