We might incorporate that into a revised revised compatibilist definition: The subject acted freely if she could have done otherwise in the right sense. This means that she would have done otherwise if she had chosen differently and, under the impact of other true and available thoughts or considerations, she would have chosen differently. True and available thoughts and considerations are those that represent her situation accurately, and are ones that she could reasonably be expected to have taken into account.
This is all so rational, which is why I tend to lean a bit more in the deterministic direction. Sometimes we have the knowledge/information and even think of it before making our decision to act, but irrational impulses and motivators overrule these rational ones and, in essence, choose the "wrong" behavior. This is murky territory, where, I think, the individual is neither all victim nor all accountable moral agent. It's more complicated than either/or. It's more a matter of "to what extent"?
I guess I'm homing in on the word "available." High quality healthcare is "available," but only if you have some means to access it: if it's too far to walk, you don't have a car, and there's no nearby public transportation, etc., it maybe be available but geographically inaccessible. If you can't afford to get to the care facility, pay the price of an appointment (or, more likely, series of appointments), and any tests or treatments ordered, the available healthcare is not accessible to you. And so on. Do we take seriously the argument that this person should have chosen to live closer to a hospital, bought and learned how to drive a car, made friends with someone who has a car and can lend it or drive the individual to care, chosen to make more money so they could afford care? That's a somewhat gray area I suppose, but if we accept that there are structural barriers barring the access of poor people to resources, and other or similar barriers keeping them poor, things get even more complicated.
How similar is this to a person like me who needs to get healthier—lose weight, lower blood sugar and cholesterol, lower A1C, improve cardio-vascular health, etc. but who also has compulsive cravings to eat large quantities of junky food? I wrestle with this every day of my life—and not just this specific point, but MANY others in which my mental illness or my (disordered?) personality or whatever seem to play an oversized and counterproductive (dare I add "determinative"?) role.
