Responsibility
Public health policy requires decisions about how to distribute the burdens and benefits of reducing health-related risks. This chapter argues that responsibility should be assigned on the basis of the values that the health system is aiming to promote or respect, rather than by treating personal responsibility as an extrinsic ethical requirement on health system design. A health system’s answer to the question of whom to hold accountable, and how to do so, should be framed within the context of the right to public health. Where claims of irresponsibility are levelled, these should in the first instance be directed towards those who violate the right to public health, either through government or corporate agency, rather than at isolated individuals.