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Responsibility and Distributive Justice$
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Carl Knight and Zofia Stemplowska

Print publication date: 2011

Print ISBN-13: 9780199565801

Published to Oxford Scholarship Online: May 2011

DOI: 10.1093/acprof:oso/9780199565801.001.0001

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Individual and Social Responsibility for Health

Individual and Social Responsibility for Health

(p.266) 13 Individual and Social Responsibility for Health
Responsibility and Distributive Justice

Norman Daniels

Oxford University Press

A range of policies in the US and abroad attempt to assign individual responsibility for health, sometimes sanctioning failure to take individual responsibility, sometimes assigning accountability for responsibility in other ways. This chapter argues that the primary responsibility for health and health care is social, but that health promotion requires we find room for a reasonable notion of individual responsibility and provide incentives for it. This means rejecting the view that ‘You broke it, you own it’, but allowing for shared responsibility for health. Oddly, a luck egalitarian view that emphasizes individual responsibility seems to offer little support for incentives to promote healthy behaviours.

Keywords:   individual responsibility, social responsibility, health promotion, luck egalitarian, incentives

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