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  1.  12
    Against Moral Responsibilisation of Health: Prudential Responsibility and Health Promotion.Rebecca C. H. Brown, Hannah Maslen & Julian Savulescu - forthcoming - Public Health Ethics:phz006.
    In this article, we outline a novel approach to understanding the role of responsibility in health promotion. Efforts to tackle chronic disease have led to an emphasis on personal responsibility and the identification of ways in which people can ‘take responsibility’ for their health by avoiding risk factors such as smoking and over-eating. We argue that the extent to which agents can be considered responsible for their health-related behaviour is limited, and as such, state health promotion which assumes certain forms (...)
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  2.  23
    Reframing the Debate Around State Responses to Infertility: Considering the Harms of Subfertility and Involuntary Childlessness.Rebecca C. H. Brown, Wendy A. Rogers, Vikki A. Entwistle & Siladitya Bhattacharya - 2016 - Public Health Ethics 9 (3):290-300.
    Many countries are experiencing increasing levels of demand for access to assisted reproductive technologies. Policies regarding who can access ART and with what support from a collective purse are highly contested, raising questions about what state responses are justified. Whilst much of this debate has focused on the status of infertility as a disease, we argue that this is something of a distraction, since disease framing does not provide the far-reaching, robust justification for state support that proponents of ART seem (...)
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  3.  6
    Responsibility in Healthcare Across Time and Agents.Rebecca C. H. Brown & Julian Savulescu - forthcoming - Journal of Medical Ethics:medethics-2019-105382.
    It is unclear whether someone’s responsibility for developing a disease or maintaining his or her health should affect what healthcare he or she receives. While this dispute continues, we suggest that, if responsibility is to play a role in healthcare, the concept must be rethought in order to reflect the sense in which many health-related behaviours occur repeatedly over time and are the product of more than one agent. Most philosophical accounts of responsibility are synchronic and individualistic; we indicate here (...)
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    Irresponsibly Infertile? Obesity, Efficiency, and Exclusion From Treatment.Rebecca C. H. Brown - 2019 - Health Care Analysis 27 (2):61-76.
    Many countries tightly ration access to publicly funded fertility treatments such as in vitro fertilisation. One basis for excluding people from access to IVF is their body mass index. In this paper, I consider a number of potential justifications for such a policy, based on claims about effectiveness and cost-efficiency, and reject these as unsupported by available evidence. I consider an alternative justification: that those whose subfertility results from avoidable behaviours for which they are responsible are less deserving of treatment. (...)
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