Promoting Healthy Behavior: How Much Freedom? Whose Responsibility?

الغلاف الأمامي
Daniel Callahan
Georgetown University Press, 04‏/02‏/2000 - 192 من الصفحات
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The government, the media, HMOs, and individual Americans have all embraced programs to promote disease prevention. Yet obesity is up, exercise is down, teenagers continue to smoke, and sexually transmitted disease is rampant. Why? These intriguing essays examine the ethical and social problems that create subtle obstacles to changing Americans' unhealthy behavior.

The contributors raise profound questions about the role of the state or employers in trying to change health-related behavior, about the actual health and economic benefits of even trying, and about the freedom and responsibility of those of us who, as citizens, will be the target of such efforts. They ask, for instance, whether we are all equally free to live healthy lives or whether social and economic conditions make a difference. Do disease prevention programs actually save money, as is commonly argued? What is the moral legitimacy of using economic and other incentives to change people's behavior, especially when (as with HMOs) the goal is to control costs?

One key issue explored throughout the book is the fundamental ambivalence of traditionally libertarian Americans about health promotion programs: we like the idea of good health, but we do not want government or others posing threats to our personal lifestyle choices. The contributors argue that such programs will continue to prove less than wholly successful without a fuller examination of their place in our national values.

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الصفحة 14 - Health promotion is the process of enabling people to increase control over, and to improve, their health.
الصفحة 23 - ' in every well-ordered society, charged with the duty of conserving the safety of its members, the rights of the individual in respect of his liberty may, at times, under the pressure of great dangers, be subjected to such restraint, to be enforced by reasonable regulations, as the safety of the general public may demand.
الصفحة 19 - MICHAEL SANDEL: Liberalism and the Limits of Justice, Cambridge (Cambridge University Press) 1982.
الصفحة 85 - ... features of social organization such as networks, norms, and social trust that facilitate coordination and cooperation for mutual benefit.
الصفحة 20 - If you don't know where you're going, any road will take you there.
الصفحة 85 - In not asking for or expecting any payment of money these donors signified their belief in the willingness of other men to act altruistically in the future, and to combine together to make a gift freely available should they have a need for it. By expressing confidence in the behaviour of future unknown strangers they were thus denying the Hobbesian thesis that men are devoid of any distinctively moral sense. As individuals they were, it may be said, taking part in the creation of a greater good...
الصفحة 88 - ... the great man' which thrust upon him the burden of being his own self-sufficient moral authority. For if the conception of a good has to be expounded in terms of such actions as those of a practice, of the narrative unity of a human life and of a moral tradition, then goods, and with them the only grounds for the authority of laws and virtues, can only be discovered by entering into those relationships which constitute communities whose central bond is a shared vision of and understanding of...
الصفحة 135 - Genetic heterogeneity and penetrance analysis of the BRCA1 and BRCA2 genes in breast cancer families.
الصفحة 135 - Easton DF, Steele L, Fields P, et aL Cancer risks in two large breast cancer families linked to BRCA2 on chromosome 13ql2-13. Am J Hum Genet 1997;61:120-128.
الصفحة 17 - Physical Activity and Health, A Report of the Surgeon General, Executive Summary.

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نبذة عن المؤلف (2000)

The co-founder and former president of the Hastings Center, Daniel Callahan is currently the director of international programs for the Hastings Center and author of The Troubled Dream of Life: In Search of a Peaceful Death, Setting Limits: Medical Goals in an Aging Society, and What Kind of Life?: The Limits of Medical Progress(Georgetown University Press).

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