P.F. Strawson's reactive attitudes framework holds that blame is only warranted when an agent acts from an exemption-free exercise of will; structural coercion constitutes such an exemption.
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The party in a principal-agent relationship who is instructed to produce the good or service on the principal's behalf — in the medical context, the doctor
blame(Scanlon's contractualist account)
A reactive attitude directed at the attitudes a person actually holds, not a judgment about whether the person could have done otherwise.
reactive attitudes(Blame is given as the paradigm case of a reactive attitude)
Attitudes that agents have towards other agents in response to those agents' behavior
structural coercion(used by some public reason theorists to expand the scope of what counts as coercion requiring public justification)
A broadened conception of coercion that extends beyond direct legal compulsion to include systemic or structural constraints on individuals