The Tories are bright enough to realize they cannot get away with a frontal attack on the principle of universal provision of health services "free at the point of delivery" because it is so obviously in the interest of everyone who is not a shareholder in a pharmaceutical company or an insurance firm, so the plans seems to be to change the internal administrative structure of the health services so as gradually and imperceptibly to siphon away potentially highly profitable medical services to private organizations on a variety of specious grounds, leaving a skeleton public structure that is responsible only for less immediately profitable forms of provision. This public structure can then be expected to collapse of its own weight, thereby seeming to validate self-fulfilling claims about the inherent superiority of the private sphere over the public.
American-British philosopher
Raymond Geuss (born December 10, 1946 in Evansville, Indiana), a Professor in the Faculty of Philosophy, University of Cambridge, is a political philosopher and scholar of 19th and 20th century European philosophy.
From: Wikiquote (CC BY-SA 4.0)
If one thinks that ideological conceptions are an important feature of modern societies, and that the analysis of ideologies will therefore have to be an integral component of any contemporary political philosophy, Rawls’s view is seriously deficient, because it does not thematise power. The idea that seems to be presupposed by the doctrine of the veil of ignorance—namely, that one can in some way get a better grasp or understanding of the power relations in society and how they work by covering them up, ignoring them, or simply wishing them away—seems very naïve. To the extent, then, to which Rawls draws attention away from the phenomenon of power and the way in which it influences our lives and the way we see the world, his theory is itself ideological. To think that an appropriate point of departure for understanding the political world is our intuitions of what is “just,” without reflecting on where those intuitions come from, how they are maintained, and what interests they might serve, seems to exclude from the beginning the very possibility that these intuitions might themselves be “ideological.”
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At the end of the last book he published, The Law of Peoples, Rawls sets out the task of “reconciling” members of “liberal democratic” societies to their social order, and interprets his own previous work as contributing to that enterprise. Hegel tried to “reconcile” Prussians in the early 1820s with the Prussian state by showing that, although that state needed some far-reaching reforms, it was nevertheless fundamentally “rational” and conformed to all the intuitive demands for moral acceptability that its members might impose on it.” Similarly, Rawls’s work was an attempt to reconcile Americans to an idealised version of their own social order at the end of the twentieth century.
If the basic assumption of the theory of ideology is at all tenable, namely, that the general power relations embodied in our social structures can exert a distorting influence on the formation of our beliefs and preferences without our being aware of it, then we are definitely not going to put that kind of influence out of action by asking the agents in the society to imagine that they didn’t know their position. To think otherwise is to believe in magic: imagine you are “impartial” and you will be. In fact, doing that will be more likely to reinforce the power of these entrenched prejudices because it will explicitly present them as universal, warranted by reason, etc.
What agents would choose in certain well- defined conditions of ignorance (in the “original position”) is, for Rawls, an important criterion for determining which conception of “justice” is normatively acceptable. Why should we agree that choice under conditions of ignorance is a good criterion for deciding what kind of society we would wish to have? William Morris in the late nineteenth century claimed to prefer a society of more or less equal grinding poverty for all (e.g., the society he directly experienced in Iceland) to Britain with its extreme discrepancies of wealth and welfare, even though the least well-off in Britain were in absolute terms better off than the peasants and fishermen of Iceland.” This choice seems to have been based not on any absolute preference for equality (or on a commitment to any conception of fairness), but on a belief about the specific social (and other) evils that flowed from the ways in which extreme wealth could be used in an industrial capitalist society.” Would no one in the original position entertain views like these? Is Morris’s vote simply to be discounted? On what grounds? The “veil of ignorance” is artificially defined so as to allow certain bits of knowledge “in” and to exclude other bits. No doubt it would be possible to rig the veil of ignorance so that it blanks out knowledge of the particular experiences Morris had and the theories he developed, and renders them inaccessible in the original position, but one would then have to be convinced that this was not simply a case of modifying the conditions of the thought experiment and the procedure until one got the result one antecedently wanted.
One obvious way to specify what it is that is “due” to someone is to appeal to existing legal codes, but what they will prescribe will vary enormously from one time and place to another. A second account of justice might appeal to some notion of merit or desert. The third approach is Aristotle’s “general” conception, which simply identified “justice” with the sum of all the virtues and excellences. A fourth conception of justice is the idea that justice is in some way to be connected to equality of shares, resources, or outcomes. Finally there is the idea of fairness or impartiality of procedure. One might think that Rawls’s view derives some of its apparent plausibility because of a gradual slide between the various senses of “justice.” People start from a vague intuition that justice as a “general” concept (in the third sense above) is extremely important for the proper functioning of a society; they then find it easy to shift from this to a particular conception that connects “justice” with fairness of procedure and (a certain kind of limited) equality.
[John Rawls's] Theory of Justice begins with this assertion: “Justice is the first virtue of social institutions, as truth is of systems of thought. A theory however elegant and economical must be rejected or revised if it is untrue; likewise laws and institutions no matter how efficient and well-arranged must be reformed or abolished if they are unjust .... Truth and justice are uncompromising” (p. 3). How, one might ask. do we know that justice has this preeminence? Rawls’s second basic claim is that we have a particular kind of access to this preeminence: we have an “intuitive conviction of the primacy of justice” (p. 4) over all other considerations including welfare, efficiency, democratic choice, transparency, dignity, international competitiveness, or freedom, and, of course, over any rooted moral, philosophical, or religious conceptions. There is no account of where these intuitions came from, whether they might be in any way historically or sociologically variable, or what role they play in society.
Diverting attention from the way in which certain beliefs, desires, attitudes, or values are the result of particular power relations, then, can be a sophisticated way of contributing to the maintenance of an ideology, and one that will be relatively immune to normal forms of empirical refutation. If I claim (falsely) that all human societies, or all human societies at a certain level of economic development, have a free market in health services, that is a claim that can be demonstrated to be false. On the other hand, if I focus your attention in a very intense way on the various different tariffs and pricing schema that doctors or hospitals or drug companies impose for their products and services, and if I become morally outraged by “excessive” costs some drug companies charge, discussing at great length the relative rates of profit in different sectors of the economy, and pressing the moral claims of patients, it is not at all obvious that anything I say may be straightforwardly “false”; after all, who knows what “excessive” means? However, by proceeding in this way I might well focus your attention on narrow issues of “just” pricing, turning it away from more pressing issues about the acceptance in some societies of the very existence of a free market for drugs and medical services. One can even argue that the more outraged I become about the excessive price, the more I obscure the underlying issue. One way, then, in which a political philosophy can be ideological is by presenting a relatively marginal issue as if it were central and essential.
In some central and important cases, … the existence of specific power relations in the society will produce an appearance of a particular kind. Certain features of the society that are merely local and contingent, and maintained in existence only by the continual exercise of power, will come to seem as if they were universal, necessary, invariant, or natural features of all forms of human social life, or as if they arose spontaneously and uncoercedly by free human action.
When we use a tool in everyday life, it usually remains a detached instrument under my control and activated only when, where, and how I decide. … In contrast, conceptual innovations often “stick,” escape our control and become part of reality itself. Once Hobbes invents the idea of the “state” this idea can come into contact with real social forces with unforeseeable results. The “tool” develops a life of its own, and can become an inextricable part of the fabric of life itself.
Some forms of Kantianism put great weight on “what we can imagine” holding that this can be a source of insight into necessary connections. Thus various of Kant’s arguments about space and time depend on the purported fact that it is impossible for us to imagine certain things: we can know, Kant claims, a priori that space has only three dimensions because we cannot imagine it as having more than three dimensions. History in the form of non-Euclidean geometry and modern physics has put paid to that particular line of argument, but in general we should beware of depending too much on “What we can imagine?,” especially in politics. As Nietzsche puts it somewhere, sometimes the fact that you can’t imagine a situation in which things are very different from the way they are now is not an especially good argument for the claim that they must be as they now are, but, rather, represents a failure of your powers about which you should feel mildly apologetic.
In many of the cases of conceptual innovation, … creating the conceptual tools is a precondition to coming to a clear understanding of what the problem was in the first place. It is very difficult to describe the transition after it has taken place because it is difficult for us to put ourselves back into the situation of confusion, indeterminacy, and perplexity that existed before the new “tool” brought clarity and this means it is difficult for us to retain a vivid sense of what a difference having the concept made. We can just barely imagine ourselves in a world in which there are no states, as opposed to local barons, warlords, clans, primitive communal forms of village organisation, etc.
Humans in modern societies are driven by a perhaps desperate hope that they might find some way of mobilizing their theoretical and empirical knowledge and their evaluative systems so as both to locate themselves and their projects in some larger imaginative structure that makes sense to them. … Furthermore, many modern agents would like it to be the case that the form of orientation which their life has is, if not true, at least compatible with the best available knowledge.
Monotheistic religions in the West have tended to conflate having a general orientation in life, having a specific theory of the world, having a sense of the positive meaningfulness of one’s existence, and having a fixed set of rules for behavior, but these elements are in principle separable. … The “metaphysical need,” … both Marx and Nietzsche held, is a historical phenomenon that arises under determinate circumstances, and could be expected to disappear under other circumstances that we could relatively easily envisage.