We hear a lot of talk in the united states today about "family values" and "personal responsibility." And yet being a good family member here can cost you your job or a career opportunity, or imperil your health and security. Conversely, being a conscientious employee can jeopardize a loved one, destroy a relationship (or prevent you from forming one), add to the health or learning problems of a dependent child, force an aging parent into a nursing home, or create a public-health hazard.

Choices Nobody Should Have to Make

Consider these examples: