The myth of zero-sum responsibility: towards scaffolded responsibility for health

Some people argue that the distribution of medical resources should be sensitive to agents’ responsibility for their ill-health. In contrast, others point to the social determinants of health to argue that the collective agents that control the conditions in which agents act should bear responsibili...

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Main Authors: Levy, N, Savulescu, J
Format: Journal article
Language:English
Published: Brill Academic Publishers 2023
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author Levy, N
Savulescu, J
author_facet Levy, N
Savulescu, J
author_sort Levy, N
collection OXFORD
description Some people argue that the distribution of medical resources should be sensitive to agents’ responsibility for their ill-health. In contrast, others point to the social determinants of health to argue that the collective agents that control the conditions in which agents act should bear responsibility. To a large degree, this is a debate in which those who hold individuals responsible currently have the upper hand: warranted appeals to individual responsibility effectively block allocation of any significant degree of responsibility to collective agents. We suggest that a different understanding of individual responsibility might lead to a fairer allocation of blame. Scaffolded agency is individual agency exercised in a context in which opportunities and affordances are structured by others. Appeals to scaffolded agency at once recognize the role of the individual and of the collective agents who have put the scaffolds in place.
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spelling oxford-uuid:a2a7ab25-f3ce-4af4-bcee-eee1f734d6192024-06-19T08:47:29ZThe myth of zero-sum responsibility: towards scaffolded responsibility for healthJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:a2a7ab25-f3ce-4af4-bcee-eee1f734d619EnglishSymplectic ElementsBrill Academic Publishers2023Levy, NSavulescu, JSome people argue that the distribution of medical resources should be sensitive to agents’ responsibility for their ill-health. In contrast, others point to the social determinants of health to argue that the collective agents that control the conditions in which agents act should bear responsibility. To a large degree, this is a debate in which those who hold individuals responsible currently have the upper hand: warranted appeals to individual responsibility effectively block allocation of any significant degree of responsibility to collective agents. We suggest that a different understanding of individual responsibility might lead to a fairer allocation of blame. Scaffolded agency is individual agency exercised in a context in which opportunities and affordances are structured by others. Appeals to scaffolded agency at once recognize the role of the individual and of the collective agents who have put the scaffolds in place.
spellingShingle Levy, N
Savulescu, J
The myth of zero-sum responsibility: towards scaffolded responsibility for health
title The myth of zero-sum responsibility: towards scaffolded responsibility for health
title_full The myth of zero-sum responsibility: towards scaffolded responsibility for health
title_fullStr The myth of zero-sum responsibility: towards scaffolded responsibility for health
title_full_unstemmed The myth of zero-sum responsibility: towards scaffolded responsibility for health
title_short The myth of zero-sum responsibility: towards scaffolded responsibility for health
title_sort myth of zero sum responsibility towards scaffolded responsibility for health
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