Just because they are at the top and making decisions we are forced to listen and agree. The only way to disagree with a politician is to vote him or her out. The influence over those at the top comes from big pharmaceutical companies and lobbyist. Every day I see an ad on TV for a new drug, but if you tell people that many diseases can be cured through your diet, you are looked at as a weirdo.
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so you do agree that those on top function within the parameters of anarchy. they do whatever they want.
I think they are much more easily influenced by the big dollar pharmaceutical companies and lobbyist to pass certain legislation that they agree on. The all mighty dollar that can help fund a campaign is a powerful influence.