If "personal responsibility" was a factor, it would mean that the last generation or two were fundamentally different from every human to have lived for the last hundred thousand years or so
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The basic idea is that a health intervention - say, a mobile self-management app - has to go through stages to be effective. Someone has to have access to it, download it, use it, continue to use it, and benefit from it
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At each stage in this cycle, social factors get in the way If you don't have a phone, you can't access an app If you don't understand the language used for the app, you can't download or use it And on, and on
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Ultimately, personal responsibility is a great thing to tell an individual, but not useful at all at the population level
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If you truly want to improve outcomes, you have to address larger social outcomes rather than talking about what actions individuals do and do not take
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I've written about all of this before - it's more expensive and politically difficult to change the environment, but if we don't we'll probably never address many of our disease problemshttps://medium.com/@gidmk/personal-responsibility-is-a-meaningless-term-8c1f7732993b …
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Also important to note, this is not just limited to health. As this thread aptly demonstrates, welfare and social programs are interlinked with healthcare effortshttps://twitter.com/drcbond/status/1059568949359038465 …
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