The causes of many health behaviors are deeply rooted in our culture, and using a counseling model that assumes individual control and responsibility for these behaviors can cause patients to feel hectored instead of helped.
Although the Affordable Care Act represents a step toward realizing the right to health in reducing the number of uninsured, a right to health encompasses the social factors that determine health on a population scale.
AMA J Ethics. 2015;17(10):958-965. doi:
10.1001/journalofethics.2015.17.10.msoc1-1510.
An adolescent patient with poor social support who has already lost one transplanted kidney due to complications of nonadherence may not automatically be inappropriate to list for a second transplant if he can prove his ability to adhere to the demands of a dialysis regimen.