Personal Responsibility for Health Flashcards
How is PR involved in NHS?
NHS Constitution for England (2013)
What is the NHS’s take?
Encourage but don’t enforce
multifactorial causes
cost of healthcare
What is the Law’s take?
Denying unlawful but taxing lawful
What is the GMC’s take?
No views on patients lifestyle to prejudice treatment offered
Discuss the case:
Patient A developed liver cirrhosis after 30 years of heavy drinking. He has not drunk any alcohol for 4 years and is very unlikely to drink again
Patient B developed liver cirrhosis after being infected with Hepatitis C during a blood transfusion
There is only one liver available. Who gets it?
random selection
What about if both had PR?
Luck is not a factor, should use taxes to justify help
What about heroic deeds?
Can show risky behaviour, making mistakes may not lead to PR
Empirical premise?
Life choices cause health problems
Metaphysical premise?
People are FREE with regard to engaging in the behaviour resultant from health-related life choices-
If we’re not free-no meaning in PR and us being responsible
Epistemological premise?
People have sufficient information and understanding of the association between behaviour and its consequences, and are thus about to make an informed choice-
o If deliberately declined to know consequences of risk then negligently ignorant and so could be held for PR
o Hard to gain information
Rationality premise?
o People have capacity to make decisions on the basis of reasons, or: are reason-responsive
o How much do people need to be able to give reasoning for their actions?
Normative premise?
People who are free, able to make sufficiently informed choice and rational are morally responsible for their decisions
normative action-guiding premise
o People who are morally responsible should be held accountable (e.g. bear some cost)
o NHS-people are treated anyways
