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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... 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 prevention ...
... lifestyle factors " and health - related behaviors — remained heav- ily focused on personal rather than social responsibility for health . Following a brief discussion of the contested meaning of " personal responsibility for health ...
... lifestyle on health were emphasized in ancient Greece and Rome , and the notion that individuals had at least some control over their health continued , to varying degrees , through the Middle Ages and the Renaissance . " In the United ...
... lifestyle or personal behavior issues . The Surgeon General's report , for example , argued persuasively that " we ... lifestyle determinants of health , but we also allowed lifestyle to be interpreted too narrowly as pertaining ...
... lifestyle modifications , increasingly sophisticated behavior change techniques and interventions have sometimes resulted in high success rates . The Stanford Coronary Risk Intervention Program ( SCRIP ) , for example , which combined ...
المحتوى
23 | |
HELEN HALPIN SCHAUFFLER | 37 |
E HAAVI MORREIM | 56 |
ANN ROBERTSON | 76 |
RONALD LABONTE | 95 |
Finding | 137 |
MEREDITH MINKLER | 153 |
Contributors | 171 |