Wherewith actualisation of health promotion as an important aspect in the context of public health maintenance, the questions which are connected to public joint responsibility in their health maintenance and improvement attain even greater importance. Taking into consideration the insufficient health quality of Latvian population which ranks Latvia in one of the last places among the European countries, actualisation and implementation of individual responsibility dimension in the health care financing model, is viewed as a possibility of improvement of the current situation. The research overlooked the approaches of individual responsibility integration in health care models employed by the developed countries, classifying those several parameters, established the insufficient Latvian population involvement level which is characterised by large health influencing harmful habit prevalence and low involvement level in illness prevention measures, as well as marked the main challenges and possibilities, introducing individual responsibility dimension in Latvian health care financing model which are referred to both increasing the payment solidarity and lifestyle and behaviour changes.