Robert Maxwell wrote:
Self-determination and sovereignty are some of the most important Western values there are, values which the Federation also appears to hold as sacred. Given that, being willing to violate those principles for the sake of acquiring some dubious medical technology puts in doubt how much the Federation actually values those supposed rights.
If sovereignty and self-determination were ever that important to the Federation, they wouldn't be pulling planets out from under their own people and using them as bargaining chips. Like seen in Journey's End
But the Federation government still has to do what's best for the bulk of the Federation population in any given matter.