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<jats:p>Christine Clavien and Samia Hurst<jats:sup>1</jats:sup> (henceforth C-H) make at least three valuable contributions to the literature on responsibility and healthcare. They offer an admirably clear and workable set of criteria for determining a patient's degree of responsibility for her health condition; they deploy those criteria to cast doubt on the view that patients with lifestyle-related conditions are typically significantly responsible for their conditions; and they outline several practical difficulties that would be raised by any attempt to introduce responsibility-sensitive healthcare funding. I am sympathetic to the general thrust of their argument, share—at least tentatively—their policy conclusions, and was persuaded by much of the detail of their argument. However, I do have three critical comments.</jats:p>

Original publication




Journal article


Cambridge Quarterly of Healthcare Ethics


Cambridge University Press (CUP)

Publication Date





192 - 195