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  1.  42
    Against Moral Responsibilisation of Health: Prudential Responsibility and Health Promotion.Rebecca C. H. Brown, Hannah Maslen & Julian Savulescu - 2019 - Public Health Ethics 12 (2):114-129.
    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.  38
    Passport to Freedom? Immunity Passports for COVID-19.Rebecca C. H. Brown, Julian Savulescu, Bridget Williams & Dominic Wilkinson - 2020 - Journal of Medical Ethics 46 (10):652-659.
    The COVID-19 pandemic has led a number of countries to introduce restrictive ‘lockdown’ policies on their citizens in order to control infection spread. Immunity passports have been proposed as a way of easing the harms of such policies, and could be used in conjunction with other strategies for infection control. These passports would permit those who test positive for COVID-19 antibodies to return to some of their normal behaviours, such as travelling more freely and returning to work. The introduction of (...)
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  3.  21
    Responsibility in Healthcare Across Time and Agents.Rebecca C. H. Brown & Julian Savulescu - 2019 - Journal of Medical Ethics 45 (10):636-644.
    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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  4.  42
    Moral Responsibility for (Un)Healthy Behaviour.Rebecca C. H. Brown - 2013 - Journal of Medical Ethics 39 (11):695-698.
    Combatting chronic, lifestyle-related disease has become a healthcare priority in the developed world. The role personal responsibility should play in healthcare provision has growing pertinence given the growing significance of individual lifestyle choices for health. Media reporting focussing on the ‘bad behaviour’ of individuals suffering lifestyle-related disease, and policies aimed at encouraging ‘responsibilisation’ in healthcare highlight the importance of understanding the scope of responsibility ascriptions in this context. Research into the social determinants of health and psychological mechanisms of health behaviour (...)
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  5.  26
    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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  6.  4
    Response to Commentaries on ‘Responsibility in Healthcare Across Time and Agents’.Rebecca C. H. Brown & Julian Savulescu - 2019 - Journal of Medical Ethics 45 (10):652-653.
    Let us first thank the four commentators who have taken the time to read and thoughtfully reflect on our paper. In that paper, we discuss how responsibility concepts must be sensitive to the temporal and social aspects of health-related behaviour, if responsibility is to play a role in health policy. This ‘if’ is a big one, and Hanna Pickard rightly challenges our position of neutrality with regard to whether or not responsibility should be incorporated into health policy.1 Pickard proposes that (...)
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  7.  9
    Prospective Intention-Based Lifestyle Contracts: mHealth Technology and Responsibility in Healthcare.Emily Feng-Gu, Jim Everett, Rebecca C. H. Brown, Hannah Maslen, Justin Oakley & Julian Savulescu - 2021 - Health Care Analysis 29 (3):189-212.
    As the rising costs of lifestyle-related diseases place increasing strain on public healthcare systems, the individual’s role in disease may be proposed as a healthcare rationing criterion. Literature thus far has largely focused on retrospective responsibility in healthcare. The concept of prospective responsibility, in the form of a lifestyle contract, warrants further investigation. The responsibilisation in healthcare debate also needs to take into account innovative developments in mobile health technology, such as wearable biometric devices and mobile apps, which may change (...)
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