With the birth of scientific medicine in the late 1800s, the responsibility for 'health' was increasingly removed from the individual and replaced by a dependence upon medical intervention and required public health measures. Individual responsibility was viewed largely in terms of assuring accessibility for the individual (and his/her family) to the professional health delivery system. The need for health care, therefore, was seen as episodic necessity -- not as a continuing individual responsibility.
Ford and Ford, W. Scott
"The Good Life: Who's Practicing Healthy Life-styles?,"
The Journal of Sociology & Social Welfare: Vol. 7
, Article 10.
Available at: http://scholarworks.wmich.edu/jssw/vol7/iss3/10