Kerman University of Medical Sciences International Journal of Health Policy and Management 2322-5939 8 9 2019 09 01 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” 567 569 3642 10.15171/ijhpm.2019.47 EN Harro Van Lente Faculty of Arts and Social Sciences, Maastricht University, Maastricht, The Netherlands 0000-0002-4719-360X Journal Article 2019 03 07 <span class="fontstyle0">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.</span> https://www.ijhpm.com/article_3642_300d1539c3b6aa1793b5678b857732cf.pdf