Behaviors often condemned as irresponsible health decisions in public health policymaking are frequently associated with disadvantaged or marginalized groups

Many, however, object to these lines of argument. Some grant that individuals are responsible for their risky health decisions but deny that this licenses the conclusion that justice requires the sorts of policies just described. These critics articulate alternative ways for people to bear the costs of their decisions, including, for example, allowing people who engage in risky behaviors to self-insure in some way (Flanigan 2014b). A different line of argument, specific to the financing of healt