Democracy is both irritating and rewarding. This is brought into sharp focus when one talks about democracy in the context of a pandemic like HIV/AIDS. On the one hand, the norms of deliberative democracy require that all stakeholders be consulted in the policy formation processes. On the other, such consultation processes, if not managed properly, deliver us democracy at the expense of necessary action.
That, in a nutshell, is the state of the South African National Aids Council (SANAC), the most important body that is meant to help President Zuma in his visible and justified quest to depart from years of Mbeki denialism. But in order to succeed he must think through how to avoid a democratic deficit that will haunt him at the polls (should he not consult widely) while, nonetheless, showcasing decisive leadership by making sure policy decisions get taken and implemented (by learning when to stop consulting).
The problem is this. Many policies get debated at a forum like SANAC. The body, comprising various stakeholders including both government and civil society, is supposed to make recommendations that could eventually become policy. Unfortunately, SANAC's efficacy is increasingly being hampered. The bottleneck is a tough one to complain about - deliberative democracy. Or so it would seem.
First, it is important that all voices be heard in processes that can lead to policy outcomes. Civil society organisations have fought in our courts to reverse policy processes undertaken by government that failed to do so. It would be bizarre to suddenly moan that citizens are getting too much attention from government.
Second, input from various organisations have substantive merit in designing policies. As a citizen of a country you have a legal and political entitlement to influencing policy to reflect your wishes. If that means lobbying government to prevent the legalisation of sex work then so be it.
Furthermore, policy processes are not perfect. It is only through having tough, open debate and disagreement that we can maximise the chances of decisions being taken that are based both in fact and which reflects the ideological convictions of the population. A process that does not have these elements does not have full legitimacy.