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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... choice of lifestyles . How might this tension be better dealt with ? The final essay by Barbara Koenig , Meredith Minkler , and me represents the sum of what we learned from the project and where we believe health promotion and disease ...
... choice . " The personal responsibility verdict in this mid - 1997 case was curi- ously timed , coming in the midst of a flurry of antitobacco sentiment and legislation and mounting public support for unprecedented crack- downs on an ...
... choices and actions with regard to diet and exercise , for example , in helping to determine his or her health status . In the words of the Rockefeller Foundation's late president John Knowles , the " primary critical choice " facing ...
... 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 ...
... choice in deciding on a course of action . In Callahan's words , " Most of the health habits of most of us are under ... choices . A major assumption of the human agency argument , with particular relevance in relation to the ...
المحتوى
23 | |
HELEN HALPIN SCHAUFFLER | 37 |
E HAAVI MORREIM | 56 |
ANN ROBERTSON | 76 |
RONALD LABONTE | 95 |
Finding | 137 |
MEREDITH MINKLER | 153 |
Contributors | 171 |