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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... effectively how the powerful scientific drive for greater genetic knowledge , and the exploitation of the uses to which it can be put , will almost certainly force a confrontation among a number of our settled social values . In ...
... effectively reach those for whom personal behavior changes could make a significant difference in terms of risk factor reduction.33 The above arguments are frequently cited as part of the scientific base for approaches to health ...
... effectiveness of many of the large , well- funded programs that have focused on individual behavior change . In the ... effectively than individual change approaches.76 Similarly , Syme , one of the world's foremost au- thorities on ...
... Effective behavior change therefore requires that we do our best as individuals , but also that we work to- gether with one another to create more healthful and supportive social environments.8 84 Working together means , I believe ...
... Effective Outcome Studies of Comprehensive Health Promotion and Disease Prevention Programs at the Worksite : 1991–1993 Update , ” American Journal of Health Promotion 8 , no . 1 ( September / October 1993 ) : 50-61 ; Centers for ...
المحتوى
23 | |
HELEN HALPIN SCHAUFFLER | 37 |
E HAAVI MORREIM | 56 |
ANN ROBERTSON | 76 |
RONALD LABONTE | 95 |
Finding | 137 |
MEREDITH MINKLER | 153 |
Contributors | 171 |