Personal responsibility for health as a rationing criterion: why we don't like it and why maybe we should
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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Journal of Medical Ethics 34 (12):871-874 (2008)
Whether it is fair to use personal responsibility of patients for their own health as a rationing criterion in healthcare is a controversial matter. A host of difficulties are associated with the concept of personal responsibility in the field of medicine. These include, in particular, theoretical considerations of justice and such practical issues as multiple causal factors in medicine and freedom of health behaviour. In the article, personal responsibility is evaluated from the perspective of several theories of justice. It is argued that in a healthcare system based on both equality of opportunity and solidarity, responsible health behaviour can—in principle—be justifiably expected. While the practical problems associated with personal responsibility are important, they do not warrant the common knee-jerk refusal to think more deeply about responsibility for health as a means of allocating healthcare resources. In conclusion, the possibility of introducing personal responsibility as a fair rationing criterion is briefly sketched
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Christina Dineen (2011). Finding the Right Way to Ration. American Journal of Bioethics 11 (7):26 - 28.
Ignaas Devisch (2012). Co-Responsibility: A New Horizon for Today's Health Care? [REVIEW] Health Care Analysis 20 (2):139-151.
R. C. H. Brown (2013). Moral Responsibility for (Un)Healthy Behaviour. Journal of Medical Ethics 39 (11):695-698.
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