What is the main way a representative democracy differs from a direct democracy? citizens elect leaders who vote on the issues in a representative democracy, and citizens vote on the issues in a direct democracy. a representative democracy is modern, and a direct democracy is ancient. a representative democracy works better in small groups, and a direct democracy works better in large groups. citizens’ desires are ignored in a representative democracy, and citizens’ desires have a better chance of being heard in a direct democracy.

Citizens elect leaders who vote on the issues in a representative democracy, and citizens vote on the issues in a direct democracy.

Representative democracy has the word "representative", because people are chosen to "represent" the people, and to do what their voters want them to do.

Whereas, direct democracy is called "direct", because the citizens have direct opinion on issues

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the biopsychosocial approach was developed at rochester decades ago by drs. the biopsychosocial approach systematically considers biological, psychological, and social factors and their complex interactions in understanding health, illness, and health care delivery.

explanation:

early settlements on the subcontinent. both the indus and the ganges rivers carried rich silt from the mountains to the plains. when the rivers flooded, the silt spread over the plains and made the soil in the river valleys fertile for farming.