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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... change poor health behavior ; indeed , such efforts have spawned an active and committed enterprise . There are , however , or seem to be , fewer explorations of the ethical and social problems that may be putting subtle and hidden ...
... behavior change , and usually ( as with HMOs ) for the specific purpose of holding down the costs of health care . Ann Robertson and Ronald Labonte , our Canadian contributors , brought to the discussion the fruits of a long and intense ...
... behaviors — remained heav- ily focused on personal rather than social responsibility for health . Following a brief ... behavior change can have only a limited impact on the distribution of disease in society . A case will then be made ...
... change that enables increased " response - ability " on the individual level . The chapter will close by presenting the Canadian approach to health promotion developed in the mid - 1980s and refined during the past decade as an example ...
... change , legislation and 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 ...
المحتوى
23 | |
HELEN HALPIN SCHAUFFLER | 37 |
E HAAVI MORREIM | 56 |
ANN ROBERTSON | 76 |
RONALD LABONTE | 95 |
Finding | 137 |
MEREDITH MINKLER | 153 |
Contributors | 171 |