title: Personal Responsibility and Lifestyle Diseases.
abstract: What does it take for an individual to be personally responsible for behaviors that lead to increased risk of disease? We examine three approaches to responsibility that cover the most important aspects of the discussion of responsibility and spell out what it takes, according to each of them, to be responsible for behaviors leading to increased risk of disease. We show that only what we call the causal approach can adequately accommodate widely shared intuitions to the effect that certain causal influences-such as genetic make-up or certain social circumstances-diminish, or undermine personal responsibility. However, accepting the causal approach most likely makes personal responsibility impossible. We therefore need either to reject these widely shared intuitions about what counts as responsibility-softening or undermining or to accept that personal responsibility for behaviors leading to increased risk of disease rests on premises so shaky that personal responsibility is probably impossible.
authors.affiliation: University of Copenhagen, Copenhagen, DenmarkUniversity of Copenhagen, Copenhagen, Denmark mmarch@hum.ku.dk.
authors.forename: Martin Marchman
authors.initials: MM
authors.lastname: Andersen
authors.affiliation: University of Copenhagen, Copenhagen, DenmarkUniversity of Copenhagen, Copenhagen, Denmark.
authors.forename: Morten Ebbe Juul
authors.initials: ME
authors.lastname: Nielsen
mesh_terms: D002755:Choice Behavior; D015438:Health Behavior; D006801:Humans; D008019:Life Style; D009042:Motivation; D026684:Personal Autonomy; D010686:Philosophy, Medical; D012941:Social Responsibility
keywords: distributive justice; health; health care allocation; lifestyle diseases; luck egalitarianism; responsibility