Luck Egalitarianism and the Health Responsibility of Smokers
As a theory of distributive justice oriented towards responsibility,luck egalitarianism asserts that smokers should bear the medical costs resulting from their voluntary choice to smoke,otherwise,it would be unfair to others.The smoker's health responsibility theory,although morally compelling,faces practical difficulties.Pre-emptive insurance or taxation schemes based on prospective responsibility may encounter problems such as moral hazard or the inability to accurately target the intended population.Punitive schemes based on retrospective responsibility may face epistemological or medical ethics challenges.From a second-best perspective,prospective responsibility,which emphasizes incentives and prevention,is more likely to promote health outcomes than retrospective responsibility,which focuses on blame and punishment.
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