Author Affiliation: Division of Medical Ethics, New York Presbyterian–Weill Cornell Medical Center, New York, New York ( email@example.com).
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
Fins JJ. Health Justice: An Argument From the Capabilities Approach. JAMA. 2012;307(19):2106. doi:10.1001/jama.2012.4817