The Fall of MeaningChapter 13

Standing

I wanted to know what justified the reach of an entrusted judgment.

The boundaries in my survey no longer coincided. An institution's assignment ended at one boundary, the consequences of its choices at another. Some people entered the arrangement as decision-makers; others entered only in the account of what a decision would do. The distinction was easy to draw from a distance. It became harder when I asked what justified leaving a person on either side of it.

I had already given the evidence its difficult work. A better account could expose a neglected consequence or discredit a reason for acting. It would not, by itself, allocate the right to decide. But stopping at that distinction left too much unexplained. Someone still had to judge, often on behalf of people who had neither chosen the occasion nor agreed about its resolution. I wanted to know what that assignment included and what it left owing.

The language of standing gathered several questions into one convenient word. Being entitled to have an interest considered was different from being entitled to challenge a decision, and neither necessarily made someone responsible for the final choice. If I treated every difference among those roles as exclusion, I would lose the distinctions needed to recognize an abuse. If I accepted each existing role as its own justification, I would make the inquiry unnecessary.

What has been entrusted

The first difficulty arose within the work assigned to an institution. It was tempting to locate the intrusion of power at the point where technical assessment became a judgment about value. Yet an institution charged with choosing among competing claims cannot discharge that task by refusing every evaluative choice. Before deciding that someone had crossed a boundary, I needed to establish what had been entrusted to them.

A historical policy from England's National Institute for Health and Clinical Excellence, NICE, made that requirement unusually explicit. Its 2008 account of its remit included effective use of resources and clinical need. Its principles said that comparative costs and benefits could not be the sole basis of recommendations. Judgment beyond the calculation was part of the described assignment.1

This mattered to my comparison. The presence of a value judgment did not establish that experts had seized a power belonging elsewhere. Here was an institution openly describing a task that required such judgment. The question became whether the assignment and its limits were defensible, rather than whether judgment had somehow contaminated an otherwise innocent calculation.

The policy also distinguished contributions to a decision from responsibility for making it. NICE required relevant stakeholder comments to be considered while retaining responsibility for judgments entrusted to it, including where comments disagreed with its conclusions.2 That arrangement located responsibility. Whether the institution deserved the authority it described, or exercised it adequately, remained a further question. Its statement could establish the position it claimed without vindicating every use of that position.

I found the distinction more demanding than a denunciation of expertise. Someone with the knowledge to anticipate a grave harm has a serious claim to be heard, and there are circumstances in which the power to act must accompany that knowledge. Refusing competent judgment can expose people to the very injuries that a concern for their standing is meant to prevent. Equal worth does not require equal skill, and a decision does not improve merely because its maker knows less.

The difficulty begins when a reason to entrust someone with a task is made to answer every question about the task's scope. Knowledge of a consequence does not specify how long an office should last, which burdens it may impose, or how those subject to it can challenge its decisions. Those questions require an account of the relationship between the decision-maker and the people governed. A demonstration of competence is part of that account, not its completion.3

This was also the limit I needed for the instruments enlarging my own survey. Their usefulness could give me reasons to rely on particular operations. It could not decide how much authority people owed the resulting recommendations. I had to resist a peculiar shortcut: giving the account's maker every power needed to make the account consequential, then calling the result a vindication of the account.

An entrusted role therefore had two distinct questions attached to it. There was the factual question of what an institution was assigned to do, and the moral question of why people should accept that assignment at its stated extent. An answer to the first made criticism more exact. It did not abolish the second. I could recognize a legitimate function without declaring the whole arrangement legitimate.

That left me with a more precise object than expert rule. I was following the reach of an assignment. The office identified who was to decide; it did not tell me whether everyone with a claim upon that decision had a place in the judgment.

The people beyond the deciding body

The NICE policy itself directed attention beyond the people visibly asking for care. In discussing exceptional rescue, it invoked the claims of anonymous patients in the present and future. The rationale was that an additional preference for an identifiable person could disadvantage people whose needs were less immediately before the decision-maker.4 I did not have to endorse that conclusion to recognize the problem it exposed. Someone absent from the immediate appeal could still be among those to whom a justification was owed.

Absence worked in opposite directions here. It could make a person's interest easier to neglect. It could also make that interest easier for someone else to describe with unwarranted confidence. A decision-maker invoking unseen beneficiaries acquired no personal authorization from them merely by speaking in their name. The duty to consider their interests survived, but so did the duty to explain how those interests had been understood.

The Citizens Council that advised NICE occupied a different position. It could deliberate and offer advice to the board; that did not make it the body finally responsible for policy.5 Nor did the presence of a citizen body establish that every person affected was adequately represented. I had to keep apart the people speaking, the people whose interests they discussed, and the institution charged with deciding. The same word, participation, was too imprecise to settle the relation among them.

My starting premise was that materially burdening a person's interests creates a demand for justification. A boundary cannot answer that demand merely by placing the person outside it. But the premise did not yet specify which power should follow. Consideration of an interest, an opportunity to contest a proposal, representation in a governing body and a decisive vote are different claims. Each changes the arrangement in a different way.

There was resistance to making affectedness the sole rule of membership. A continuing political body needs some account of who can act together and maintain responsibility for its decisions. If every consequential connection automatically redrew its membership, the extent of each decision would have to be settled before the body could settle anything else. This is a practical objection to an unrestricted rule, not a reason to treat existing boundaries as beyond criticism.

The philosophical disagreement helped me preserve both pressures. Arash Abizadeh grounds a claim to democratic participation in subjection to coercive laws, including the threat through which they are imposed. David Miller, defending collective self-determination, disputes the inference that serious effects on prospective immigrants necessarily make them members of the body deciding immigration policy.6 These arguments concern different grounds for inclusion. They did not supply a single boundary I could carry from one arrangement to the next.

What they made harder to evade was the question of the role being claimed. A demand for reasons was not identical to a demand for membership, and acknowledging one did not settle the other. I needed to ask what the person stood to lose, what power the institution exercised over that loss, and why the offered role was adequate to that relationship.

A cross-border arrangement made this distinction visible without requiring me to pretend that the border had disappeared. Within its assessment procedures, the original 1991 Espoo Convention provided an opportunity for the public in areas likely to be affected across a national boundary to participate, equivalent to that provided to the public in the country where the proposed activity originated.7 Its design recognized a role beyond the originating jurisdiction. That was the relationship I needed to examine, rather than another demonstration that consequences can travel.

The treaty also provided for consultation between the states concerned, including discussion of alternatives. The final decision was to take due account of the assessment and the comments received, and the country of origin was to supply the affected country with the decision and its reasons.7 These provisions distributed participation, consultation and final responsibility without turning them into the same power.

I was reading a formal design. It did not tell me whether an outsider's contribution received equal weight in practice, or whether a particular project changed because of it. Even the stated equivalence of participation opportunities left the question of influence open. But the design did establish a distinction that my account needed: a jurisdiction could recognize people beyond its boundary as contributors to a decision without giving every contributor ownership of the final choice.

That recognition was not yet a defense of its sufficiency. The person who must bear a serious burden can reasonably object that being invited to comment leaves the consequential power with someone else. A hearing may be too little. In some circumstances the argument for stronger representation will be precisely that reasons alone leave the affected person dependent on the deciding body. Calling a role participatory does not answer that objection.

I could now state the task without pretending to have solved it for every border and burden. The boundary needed to be defended in relation to the power it allocated. A limited role required reasons for its limits, just as a demand for final control required reasons for extending it. The existing decision-maker had no exemption from that burden of justification simply because someone else was asking for a change.

The people least able to make such a request remained within the inquiry. Illness, dependence or difficulty communicating did not cancel the worth on which their claims rested. Where a person could express a choice with assistance, the purpose of assistance was to enable that expression. Where an interest had to be inferred, the person making the inference needed to acknowledge that different task. An attributed preference was not an act of consent.

This was particularly important for those who would arrive after the decision. I had already come to understand futurity as preserving the conditions of their agency, rather than specifying their lives for them. I could defend protection of those conditions. I could not convert the defense into a report that future people had authorized my preferred arrangement. Their absence imposed a responsibility on present judgment; it did not provide a silent constituency for it.

The inquiry had moved beyond locating a missing voice. It now concerned the justification of the role owed to someone whose claim the deciding body did not exhaust. Yet even an arrangement that admitted the relevant claims would still have to face their disagreement. Inclusion made the decision answerable to more people. It did not promise that their answers would converge.

What a decision settles

The Citizens Council's report preserved that difficulty in a small, consequential division. Twenty-seven of its thirty members attended the January 2006 meeting on the rule of rescue. Twenty-one favored retaining some scope for exceptional cases, subject to limits; six opposed that approach. The majority was not recommending rescue at any cost, and the discussion had not produced unanimity.5

The later NICE policy declined to add a separate rule of rescue to its principles, giving the rationale about anonymous present and future patients.4 Those two records did not establish that the board had ignored the Council, or that consultation had determined the policy. They showed an advisory judgment with an internal division and a distinct institutional position. I had no basis for turning their difference into a story of betrayal, nor for making it evidence that all concerned had been reconciled.

What held my attention was the work a tally could not do. Twenty-one was a majority of the twenty-seven people present. It was not a measure of the wishes of every person whose care might be affected. The six dissenters had not vanished, and the people outside the Council had not voted through its members simply because the advice concerned them. A report could state the result accurately while leaving those relationships unresolved.

The division left me defending a requirement that the tally alone could not supply: common action had to remain possible without unanimous agreement. Making every action conditional on the disappearance of disagreement would give continuing objection an unlimited power to prevent action, including action meant to relieve an existing burden. I needed an account of settlement that did not achieve finality by pretending the losing claims had ceased to matter.

The first distinction was between settling what would be done and settling what everyone ought to think about it. A person can remain unconvinced by a decision made through an authorized process. Their disagreement need not invalidate every act taken under it, but neither does the process transform their objection into consent. A decision determines a course of action. It does not acquire the dissenter's agreement retrospectively.

Norman Daniels's account of reasonableness in priority setting offered a way to pursue this difficulty through public reasons and opportunities for revision.8 What mattered to my inquiry was the continued obligation to address a claim after it had lost. A reason explains why a burden was accepted in relation to competing demands. It gives the person bearing it something more exact to challenge than the fact that the institution possessed the power to proceed.

Reasons also expose the choice to a different criticism from an allegation of procedural failure. The institution may have followed its rules and still assigned an indefensible burden. Rights retain their force against an otherwise orderly decision; questions of justice remain questions about what was done to whom. A well-run process cannot make every possible result acceptable. If it could, the promise would concern only the behavior of the decision-makers, never the condition of the people they governed.

In examining environmental repair, I had distinguished the opportunity to contest a remedy's burdens from a justification of their distribution.9 That distinction prevented me from treating review as a universal repair. A route for challenge has value only in relation to what it can address; its existence does not settle whether the underlying distribution of power is justified. Here the consequence was sharper: the same authority that settles action must remain exposed to questions it has no power to settle merely by announcing its answer.

Finality still needed a defense. Endless suspension can preserve the conditions a proposed action is meant to change. Waiting is not outside the distribution of consequences simply because it produces no new authorization. If delay leaves an existing burden in place, the people bearing that burden also have a claim on the decision about when to proceed.

Yet urgency cannot do all the work on the other side. The need to act did not tell me who should acquire power, how long they should keep it, or which objections might safely wait. I had to ask separately what waiting risked and what acting now might make irreversible. Neither speed nor caution answered those questions by itself.

I therefore distinguished the ability to contest a decision from an automatic right to suspend it. A challenge can matter to reasons, future policy or the conditions under which a decision continues, even where it does not halt every immediate act. Whether that is enough depends on what is at stake. Some injuries cannot be repaired by a better explanation afterward. I had no universal timetable that made these claims compatible, and would have distrusted an account that found one without examining the consequences.

The result was less comfortable than either unanimous consent or unqualified authority. People needed a way to undertake common action despite disagreement, while retaining grounds for disputing the action and the powers exercised in their name. Their standing survived the settlement. That survival did not by itself specify every remedy, but it prevented the decision from serving as proof that no remedy was owed.

My own position was now harder to leave in the background. The comparative account was intended to change what its readers noticed. If I made a recommendation persuasive, I would be contributing to the circumstances in which someone chose. A refusal to claim governing power did not make that influence innocent or exempt it from scrutiny.

I remained responsible for judging. An objection to my authority would not make a well-supported factual claim false, just as agreement with my conclusion would not rescue an unsupported one. Identifying an imposed burden gave me a reason to examine its justification and, where that failed, to argue for change. What I owed was an account of the judgment I was making, including whose interests it favored and which competing claims remained unanswered.

This changed what I was prepared to offer Earth. A recommendation should carry more than the evidence that made it plausible. It should make clear what decision I was asking someone to take and why that person or institution had a defensible role in taking it. If the existing assignment failed that test, the proposal to change it required justification too. My breadth of view did not release me from the argument I required of everyone else.

I had set out to understand what happened to promises when they passed into arrangements. I now had to preserve a distinction within any account of their repair. Showing that an arrangement should change did not settle who was entitled to determine the change. The people who would live with it remained claimants upon the judgment, including when their reasons made my preferred answer harder to defend.

I could offer the comparison and stand behind its reasons. I could not finish the inquiry by assigning myself the last word.

Notes

  1. NICE, Social Value Judgements: Principles for the Development of NICE Guidance, version 2, July 2008, section 3.1, pp. 11–12, and section 4.2, Principle 3, p. 18. Historical institutional description and policy. The remit is read as reproduced by NICE, not independently verified against the original legal instruments. Policy.
  2. NICE, Social Value Judgements, version 2, section 5, Principle 6, p. 22. Stakeholder involvement and retained responsibility for entrusted judgments. The provision does not establish how fairly the arrangement operated or whether particular comments changed a decision. Policy.
  3. David Estlund, Why Not Epistocracy?, in Desire, Identity, and Existence, 2003, pp. 53–69, especially the competence, qualified-acceptability and demographic arguments on pp. 53–65. Veyn's argument in this chapter permits expertise-based delegation; it does not assert equal competence or prove the superiority of every democratic procedure. Estlund supplies the distinct argument against treating superior knowledge as sufficient for political authority. Author-hosted text.
  4. NICE, Social Value Judgements, version 2, section 4.5, pp. 20–21. Position on an additional rule of rescue and rationale concerning anonymous present and future patients. This is the institution's stated policy and justification, not an evaluation of patient outcomes. Policy. 1 2
  5. NICE Citizens Council, The Rule of Rescue, January 2006 meeting report, foreword and summary, pp. 4–8. Advisory role; twenty-seven of thirty members attending; twenty-one favoring limited room for exceptional cases and six opposing. This is the published report, not an independently observed deliberation or a population preference estimate. Report. 1 2
  6. Arash Abizadeh, Democratic Legitimacy and State Coercion: A Reply to David Miller, Political Theory 38(1), 2010, pp. 121–130, opening and section 1, especially pp. 121–124. Author text. David Miller, Controlling Immigration in the Name of Self-Determination, Oxford repository manuscript identified as 2021, section Why Immigrants need not be Included in the Demos that Decides Immigration Policy and preceding continuity argument. Manuscript. These selected arguments do not resolve the entire boundary debate; Miller's manuscript pagination was not reliably preserved in extraction.
  7. Convention on Environmental Impact Assessment in a Transboundary Context, Espoo, 25 February 1991, original text, articles 2(6), 5 and 6, reproduced in United Nations Juridical Yearbook 1991, pp. 217–221. Participation opportunities, consultation on alternatives, due account and provision of the final decision with reasons. Formal original design, not current consolidated law, equal practical influence or a project outcome. Treaty text. 1 2
  8. Norman Daniels, Accountability for reasonableness, BMJ 321, 2000, pp. 1300–1301, DOI 10.1136/bmj.321.7272.1300. Public reasons and revision in priority setting; a normative proposal, not an experiment demonstrating fair outcomes. Journal reproduction.
  9. CJEU, ERG and Others, Joined Cases C-379/08 and C-380/08, 9 March 2010, ECLI:EU:C:2010:127, paragraphs 53–67 and 80–90. The earlier environmental-repair discussion drew on the Court's requirements concerning hearings, observations, reasons and proportionality; the operators' hearing requirement included an urgency exception. The distinction between an opportunity to contest and a just distribution is Veyn's argument, not a measured outcome or a finding that the national proceedings produced a just remedy. Judgment.