摘要: One of the most difficult sets issues health care policy-makers and administrators face in dealing with proliferation high-cost medical technologies centers on role that individual behavior plays health. As proportion morbidity mortality linked to lifestyle choice increases, pressures redefine responsible personal will heighten. This article argues any strategy allocate resources must take into account choices individuals put them at heightened risk for diseases or condi tions which necessitate costly intervention. approach requires a revived emphasis responsibility corresponding constraints conventional notions uninhibit ed choice. Eventually, access expensive technolo gies might be denied who fail reduce their high-risk behavior. The sensitive ethical policy problems raised by this issue are discussed here as they relate current expan sion government funding organ transplantation.