Responsibility and disrespect: reply to Tsiakiri

In a recent paper, Tsiakiri (2025) defends the use of luckegalitarianism (LE) in health-care priority setting againstthe charge of disrespect. She claims that a ”responsibilitysensitive healthcare system”, that is, a healthcare systemthat relies upon or is in accord with certain luck-egalitarianprinciples regarding priority setting decisions, can be compatible with respect for patients. She supports this claim byalluding to the Doctrine of Double Effect and Kant’s Formula of Humanity. The argument is further underpinned bythe idea that people have a perfect duty (towards themselvesand/or others) to promote their health in certain ways, whichincludes refraining from certain health-damaging activities