Abstract
There is a crisis of public health in the UK. Although public health measures are known to be effective and cost-effective, UK government has shown a reluctance to adopt those measures. Reasons for this reluctance include: the wide-ranging agenda involved in dealing with the social determinants of health; a governmental decision bias against prevention; a similar bias against precaution; the problems of interorganisational collaboration and cross-government working; and the need for political leadership. However, the reluctance also reflects a dominant libertarian way of thinking about the role of the state, which needs to be replaced by a new social contract for responsible government.
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