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. |
من داخل الكتاب
النتائج 1-5 من 27
... habits or quit complaining . He can either remain the problem or become the solution to it . " 4 Finally " responsibility based on liability " would suggest that the unhelmeted cyclist who sustains a head injury , or the smoker who ...
... habits of living that people choose for themselves " ( emphasis added ) . Ironically , this traditional approach to health promotion has tended to be disease oriented rather than health oriented . As Wallack and Montgomery have pointed ...
... habits , " but also by polluting the environment and permit- ting harmful social conditions to exist.12 Despite their efforts to address some of these broader issues , however , the major contributions of both the Lalonde and the ...
... habits - eating breakfast , drinking only in moderation , not smok- ing , and so on — had lower morbidity and mortality rates than those who followed six ; those who followed six of the habits had better health and mortality outcomes ...
... habit ( albeit usually after three to four attempts ) , and most who do quit do so on their own.29 For those individuals who need help in making lifestyle modifications , increasingly sophisticated behavior change techniques and ...
المحتوى
23 | |
HELEN HALPIN SCHAUFFLER | 37 |
E HAAVI MORREIM | 56 |
ANN ROBERTSON | 76 |
RONALD LABONTE | 95 |
Finding | 137 |
MEREDITH MINKLER | 153 |
Contributors | 171 |