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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... personal responsibility for health is adopted , one may invoke ethical or even judicial notions of paternalism , general utility , communitarian- ism , or fairness and compensation to inform policy choices 2 Meredith Minkler.
... policy choices regarding health and health promotion and disease prevention . Each of these underlying conceptual orientations will be discussed in greater detail by others in this volume in relation to such contested health promotion ...
... policy , and not merely in the realm of personal behavior change . In reality , however , implementing this broad vision of health promo- tion , particularly in an era of fiscal conservatism , proved difficult indeed . Moreover , as ...
... policies like this one may be devastating in their human costs and consequences . 66 Critics of an overemphasis on personal responsibility for health also frequently invoke an epidemiological argument , pointing out that encouraging ...
... policy and its implementa- tion in Canada . In the mid - 1980s , WHO radically revised its notion of health promo- tion by defining it as " a process of enabling people to increase control over , and to improve their health . " It went ...
المحتوى
23 | |
HELEN HALPIN SCHAUFFLER | 37 |
E HAAVI MORREIM | 56 |
ANN ROBERTSON | 76 |
RONALD LABONTE | 95 |
Finding | 137 |
MEREDITH MINKLER | 153 |
Contributors | 171 |