innovation, demand, and responsibility: some fundamental questions about health systems; comment on “what health system challenges should responsible innovation in health address? insights from an international scoping review”

In this commentary on the exercise of lehoux et al (this volume) i argue that in discussions on the current challenges of health systems, a better diagnosis of the health system is required. the cause of responsible innovation in health (rih) requires a better understanding of the dynamics of health systems, in particular how innovation, demand, and responsibility are manifested. innovation brings its own dynamic to the health system; demands are linked to historical and social developments; responsibility brings contestations about what counts as good healthcare. any attempt of rih should include such reflections.