Well, yes.
Why do you throw up? Your stomach rejects the food you ate, it was probably bad. Luckily you did.
Why do you get a fever? You slept in the cold or your brain is about to explode.
Why does she have arthritis? She did something stupid and caused some problem with her joints or she overused her muscles to the point of no return.
It's not always someone's fault, my mum has arthritis because she is overweight due to bodily disorders.
Sometimes, people have to
work in the cold, you don't take all of winter off.
She could have been born with it or suffered it after a virus of somesort.