TY  - JOUR
T1  - BAlancing responsibilities in health care—reply
AU  - Brook RH
Y1  - 2010/09/15
N1  - 10.1001/jama.2010.1314
JO  - JAMA
SP  - 1165
EP  - 1166
VL  - 304
IS  - 11
N2  - 
In my Commentary, I indicated that responsibilities should begin not with the poor, but with the rich and middle class. I distinguished those responsibilities for which an individual is mostly responsible from those (such as cigarette smoking, exercising substantially, and controlling weight) for which social determinants play a major role. Thus, for the middle class my Commentary focused on diagnostic testing that would identify diseases while they were curable and taking medication that would prevent the occurrence of serious diseases, such as myocardial infarction. These actions are under the control of the individual, as opposed to the environment in which he or she lives, especially if care is easily available and is free of charge.

SN  - 0098-7484
M3  - doi: 10.1001/jama.2010.1314
UR  - http://dx.doi.org/10.1001/jama.2010.1314
ER  -