RT Journal A1 Fins JJ T1 Health justice: An argument from the capabilities approach JF JAMA JO JAMA YR 2012 FD May 16 VO 307 IS 19 SP 2106 OP 2106 DO 10.1001/jama.2012.4817 UL http://dx.doi.org/10.1001/jama.2012.4817 AB Several years ago I read an essay about personal responsibility and health care that described efforts to improve adherence among West Virginia's Medicaid population.1 West Virginia's poor were to be given contracts delineating their rights and responsibilities, and those who did not adhere to the contracts were to be reported by their physicians to the state Medicaid office. After the Centers for Medicare & Medicaid Services approved a waiver for this initiative, then-director Mark McClellan called the state's effort “an emerging trend in health care that empowers patients to make educated, consumer-driven decisions. . . . ”1