What term refers to a mutual exchange of privileges?

• A. Leverage
• B. Moral Hazard
• C. Right-to-self determination
• D. Reciprocity

Answer: (D)

Reciprocity is the idea of a mutual exchange of privileges or benefits between two parties. It means each side gives something and receives something in return, creating a fair, balanced relationship. In healthcare, this shows up when a patient agrees to participate in a treatment plan and follow medical advice, and in return, the provider offers competent, respectful care and access to services. That bidirectional obligation helps build trust and legitimacy in clinical and public health interactions. The other terms don’t capture this two-way exchange: leverage is about power to influence outcomes, moral hazard is about behavior changes when costs are shifted, and right-to-self-determination focuses on individual autonomy rather than a reciprocal arrangement.