 Other concerns about republicanism focus on the central importance of democratic decision-making to ensure freedom from non-domination, and here some distinctive issues for public health ethics emerge. As we have noted, public health interventions are frequently implemented or decided upon by agencies that have a relatively limited democratic pedigree. Advocates of public health can defend the large role of administrative agencies by appeal to a range of justifications, including realizing conditions of justice, overall benefit, or even some form of paternalism, but it is less clear what republicans can say here (Weinstock 2016). Some might insist that, contrary to what some republican health ethicists claim, republicanism limits the scope of public health as currently practiced, since the relatively attenuated democratic pedigree of administrative agencies limits their mandate. On this sort of view, public health should be more subject to democratic control. But making public health more democratic to avoid worries about non-domination so understood engenders its own problems. One worry is that the rich notions of the public and citizenship as proposed by civic republicans are objectionably demanding, given the amount of time individuals would have to spend engaged in the work of politics (Latham 2016). More fundamentally, to claim that public health needs to be much more democratic and, therefore, that it enjoys less legitimacy than public health advocates currently claim appears to undercut the initial motivation for adopting republicanism: to find a theory that is better-suited than liberalism for legitimating a broad mandate for public health.