Myron Gananian, M.D., of Menlo Park, California, emails me in response to my Wall Street Journal opinion article “How Obamacare misreads America.” Dr. Gananian quotes from Anthony Trollope’s The Duke’s Children, the sixth and last in his series of political novels, the advice given in a letter by the former Liberal party Prime Minister Plantagenet Palliser, the Duke of Omnium, to his son Lord Silverbridge, recently elected as a Conservative member of Parliament* from a constituency whose voters are accustomed to give the Duke deference.

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