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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... example of a balanced approach that may constitute both good efficacious practice and " good ethics . " The Contested Meaning of " Personal Responsibility for Health " As Daniel Wikler has argued , the seemingly simple premise that ...
... example , argued persuasively that " we are killing ourselves , " not only by “ our own careless habits , " but also by polluting the environment and permit- ting harmful social conditions to exist.12 Despite their efforts to address ...
... example , Lester Breslow and his associates revealed that men who followed seven personal health habits - eating breakfast , drinking only in moderation , not smok- ing , and so on — had lower morbidity and mortality rates than those ...
... example , the proportion of youths who smoke daily increased by almost 50 percent between 1991 and 1996 , with 20 percent of twelfth graders now smoking on a daily basis . 26 The proportion of adults who are overweight increased by 14 ...
... example , point to dramatic declines in cigarette smoking and consumption of saturated fats from the 1960s through the 1980s , with a corresponding decline by about one - third in deaths from coronary heart disease and stroke over that ...
المحتوى
23 | |
HELEN HALPIN SCHAUFFLER | 37 |
E HAAVI MORREIM | 56 |
ANN ROBERTSON | 76 |
RONALD LABONTE | 95 |
Finding | 137 |
MEREDITH MINKLER | 153 |
Contributors | 171 |