He spent a large amount of time sketching in the hospital and drew inspiration from his experiences there, from the traffic markings on the floors around the operating theatre to sitting in a calm and quiet room in the premature baby unit.
The Founders had a horror of direct democracy for this very reason, and the system they devised was meant specifically to calm the passions, quiet the mob and channel its energies, and create a space for sober decision making by people the voters had chosen to make decisions for them.