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FILE-- A yoga class at the Sivananda Ashram Yoga Retreat in Nassau, The Bahamas, Feb. 8, 2014. The idea that Americans should take personal responsibility for their health has recently received renewed attention, and yet policies that invoke the phrase can make health problems worse. (Damon Winter/The New York Times)

FILE-- A yoga class at the Sivananda Ashram Yoga Retreat in Nassau, The Bahamas, Feb. 8, 2014. The idea that Americans should take personal responsibility for their health has recently received renewed attention, and yet policies that invoke the phrase can make health problems worse. (Damon Winter/The New York Times)