The science of policy-making, governance, and politicking from the perspective of improving, enhancing, and maintaining power structures all stem from the science, principles, practices, and ethics of good medicine from the perspective of benefitting all patients. Policy-making and governance are the technical, scientific parts of it. Advisors, staff, and researchers are like the specialists, surgeons, and medical researchers who develop the techniques full time; potentially great at what they do and at operating technically, but sometimes not so great at the bedside manner which is important in communicating medical treatments and policies to and for the general public. Politicians and those who work with the public need to be more like the family doctor or the general practitioner; trained and aware of the science and limitations and able to do experimental treatments sometimes, but ultimately owing a lot of advice and knowledge to the researchers and technical specialists. The communication processes with the public and with people in the public is an art. It can be practiced and taught; but not all will be great at it due to personality, temperament, or preference.
The politicians are the ones who need to be able to synthesize all of the research and knowledge and practices of every field of medicine in order to come up with an accurate, general, and overall picture of societal, economic, and environmental health in order to make the day to day management choices over the governing agencies and the social body that is human society. Advisors, researchers, and staff help fill in the technical cracks in their knowledge, awareness, and function, creating a detailed yet holistic synthesis of information for the politicians to do. All members of the government and the governing and research bodies are interdependent on one another and on the health and well-being of the society that is in their technical charge. Any failure in the society that can be addressed by government is ultimately a reflection of the failures within the government. Any failure in the society that the government cannot get at due to a matter of political choice and preference on the part of the society is a fault of the society. These can possibly be remedied by the government through its policy and choice making systems in given moments and over time, especially as the benefits and costs are made more known to the public. There is also the fact that there are diverse “correct” answers in policy making depending upon the given situation that a planet, international region, country, intra-country region, state, intrastate region, or locality may be in that does no harm to others or to themselves and enables the given area to thrive due to its favorable circumstances and choices. All of these layers must work together and communicate with one another freely, openly, and honestly in order to ensure optimal functionality in the long term, both within governmental organizations and across social organizations and people. Otherwise, we get less effective and efficient policy-making and governance in our social world and across societies, which ultimately costs lives, well-being, health, quality of life, resources, energy, and effort for disappointing or negative returns.