 Others reject the idea that people are responsible for health outcomes due to harmful health behaviors. Daniel Wikler (2004) offers a sustained critique of the unmodified luck egalitarian view, pressing the abandonment objection but also raising a number of practical problems regarding the view’s applications, including the difficulty of identifying voluntary actions and the arbitrariness of finding fault with some choices but not others (see also Fleck 2012). He concludes that personal responsibility should only be employed in health policy as an ideal in health promotion campaigns to motivate and encourage people to take an active role in living healthy lives.