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AJPH First Look, published online ahead of print Jul 16, 2009
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September 2009, Vol 99, No. 9 | American Journal of Public Health 1583-1587
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2008.152629

GOVERNMENT, POLITICS, AND LAW

An Account of Collective Actions in Public Health

Gil Siegal, MD, LLB, SJD, Neomi Siegal, MD, MPH, MHA and Richard J. Bonnie, LLB

Gil Siegal is with the School of Law, University of Virginia, Charlottesville, and the Center for Health Law and Bioethics, Kiryat Ono College, Kiryat Ono, Israel. Neomi Siegal is with Maccabi HMO, Tel Aviv, Israel. Richard J. Bonnie is with the School of Law, University of Virginia, Charlottesville.

Correspondence: Correspondence should be sent to Dr. Gil Siegal, University of Virginia School of Law, 580 Massie Rd, Charlottesville, VA 22903 (e-mail: gs6x{at}virginia.edu). Reprints can be ordered at http://www.ajph.org by clicking the "Reprints/Eprints" link.

Aggregated health decisions by individuals are of paramount importance to public health professionals and policymakers, especially in situations where collective participation is a prerequisite for achieving an important public health goal such as herd immunity. In such circumstances, concerted action often falls short of the common good through lack of sufficient participation.

Collective action problems are traditionally attributed to rational egoists seeking to promote their interests and enjoy a "free ride." We call attention, however, to the behavioral features of collective action and their implications for solving public health policy problems.






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