The article discusses the responsibilities of patients in medical ethics, arguing that mainstream medical ethics is one-sided, focusing mainly on doctors' obligations while neglecting patients' duties. It suggests that patient autonomy is not merely about decision-making but also about taking responsibility for the consequences of those decisions. The author argues that vulnerability does not excuse patients from responsibility and that patients have duties arising from general ethics, including respect for others, duties as citizens, and responsibilities in counseling relationships. Patients are expected to follow medical advice and not contribute to their own health issues, even if they have paid for healthcare through taxes. The article also highlights the concept of doctors as "captive helpers," who are bound to care for patients even when patients fail in their duties. However, in life-threatening situations, doctors may have to override this obligation to save a life. The conclusion is that patients have moral duties in medical ethics, which are often overlooked, and that these duties are essential for maintaining a balanced doctor-patient relationship. The article calls for a more balanced approach to medical ethics that recognizes patients' responsibilities as well as doctors' obligations.The article discusses the responsibilities of patients in medical ethics, arguing that mainstream medical ethics is one-sided, focusing mainly on doctors' obligations while neglecting patients' duties. It suggests that patient autonomy is not merely about decision-making but also about taking responsibility for the consequences of those decisions. The author argues that vulnerability does not excuse patients from responsibility and that patients have duties arising from general ethics, including respect for others, duties as citizens, and responsibilities in counseling relationships. Patients are expected to follow medical advice and not contribute to their own health issues, even if they have paid for healthcare through taxes. The article also highlights the concept of doctors as "captive helpers," who are bound to care for patients even when patients fail in their duties. However, in life-threatening situations, doctors may have to override this obligation to save a life. The conclusion is that patients have moral duties in medical ethics, which are often overlooked, and that these duties are essential for maintaining a balanced doctor-patient relationship. The article calls for a more balanced approach to medical ethics that recognizes patients' responsibilities as well as doctors' obligations.