Promoting Healthy Behavior: How Much Freedom? Whose Responsibility?Daniel Callahan Georgetown University Press, 04/02/2000 - 192 من الصفحات 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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... education classes fell from 42 percent in 1991 to just 25 percent in 1995.28 Coupled with these and other indicators of the need for change is some impressive evidence that individual behavior change can achieve improved health outcomes ...
... education , income , returns on education , and costs for goods and services such as housing , food , and automobile insurance . 52 Further , as Robison has pointed out , even after controlling for work experience and education ...
... education for school children was just $ 50,000 per state . On an even larger scale , as Robison points out , 58 ... health promotion based on personal responsibility for health are cast in stark relief . Another important dimension of ...
... health promotion also point to the limited effectiveness of many of the large , well- funded programs that have focused on individual behavior change . In the Multiple Risk Factor Intervention Trial ( MRFIT ) , as Syme points out ...
... health promotion included acting on the determinants or causes of health , eliciting high - level public participation , and using a variety of approaches that go well beyond lifestyle education and include legisla- tion ...
المحتوى
23 | |
HELEN HALPIN SCHAUFFLER | 37 |
E HAAVI MORREIM | 56 |
ANN ROBERTSON | 76 |
RONALD LABONTE | 95 |
Finding | 137 |
MEREDITH MINKLER | 153 |
Contributors | 171 |