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Taking Responsibility for Responsibility.

¹Department of Philosophy, Macquarie University and Uehiro Centre for Practical Ethics, University of Oxford.

Public Health Ethics

|August 7, 2019

Summary

This summary is machine-generated.

Holding individuals responsible for adverse health outcomes is unjust. Policy should focus on those who shape the distribution of resources and opportunities, as these factors influence health choices and outcomes.

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Area of Science:

Public Health
Health Policy
Social Determinants of Health

Background:

Growing emphasis on individual responsibility for health outcomes.
Calls from governments, physicians, media, and academics for personal health accountability.

Purpose of the Study:

To critique the policy basis of holding individuals responsible for adverse health outcomes.
To explore the role of social and circumstantial factors in health choices.

Main Methods:

Philosophical argument and analysis of existing evidence.
Examination of the distribution of capacities for responsible choice and influencing circumstances.

Main Results:

Capacities for responsible choice and relevant circumstances are unequally distributed.
This unequal distribution significantly explains why individuals make suboptimal health choices.

Conclusions:

It is unjustifiable to hold individuals solely responsible for adverse health outcomes.
Responsibility should be placed on those who control the distribution of capacities and circumstances, as they are indirectly accountable for health disparities.