But even the contribution of community and common good to equitable access to adequate health care is not without its limitations and drawbacks. Is the community responsible to provide adequate health care even to those persons who flagrantly ignore their individual responsibilities? And, how can individual responsibility be separated out from public pressure created by the advertising of unhealthy products and behaviors like smoking? How can individual responsibility be separated from peer pressure, psychological weakness, genetic predisposition etc.? In the U.S. we have a culture of “victims.” Intravenous drug users and overeaters and anorexics and alcoholics claim not to be responsible for their health problems. Rather than being removed from community responsibility lists, they claim the right to added community support for healthcare based on their self-declared victimhood3 . Besides, the ethics of the medical profession has always required doctors to treat persons in need without judging their responsibility for their problems.