A discussion exploring the idea of personal and social responsibility for health

I am currently convening a journal club titled Access to Health Care.  The article last discussed was "Personal and Social Responsibility for Health" by Daniel Wikler (Ethics and International Affairs.  2002; 16(2):47-55.).  This article explores the notion that people can be held responsible for their own health.  That they have a responsibility to practice healthful behaviors, and to not practice in unhealthy behaviors (a responsibility whose non-compliance renders them liable for censure or punishment - not a "well you should" responsibility). 

I am posting this because our discussion time was not long enough and I know others have something to say.  Additionally, I know of multiple people who would have interesting insights, who do not participate in the journal club.  I am encouraging everyone to post away.  Let's start a discussion.  (And for those of you who do not have read the article - you may want to give it a read, it's interesting!  If you do not have access at your local research library - drop me a line). 

Thanks and let's begin the discussion!