Public health is increasingly a matter of focus in bioethical argument.1 This is a welcome development. There are many social and moral problems at local, national, and global levels that warrant serious, considered deliberation and, crucially, effective action.2 The links between justice and health are well noted, and even prior to normative evaluation it is clear that simple, unstructured, individual responsibility does not permit anywhere near to the closest-to-achievable potential for health equity. It would be presumptuous to suggest that everyone sees this as problematic (indeed, given the resilience of many political and institutional structures, it is apparent that many people are indifferent to the issue, both nationally and globally).
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