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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... in the volume were all participants in the project . They were an interesting , lively , and informative group , and we all profited from our time together . Introduction Health promotion and disease prevention seem , on the vii Preface.
... participating in daily physical education classes fell from 42 percent in 1991 to just 25 percent in 1995.28 Coupled with these and other indicators of the need for change is ... participation rates of over 70 percent ( N 6 Meredith Minkler.
How Much Freedom? Whose Responsibility? Daniel Callahan. thus boasted participation rates of over 70 percent ( N = 1,911 ) with no significant differences at baseline in the health habits and behaviors of participants and nonparticipants ...
... participation , and using a variety of approaches that go well beyond lifestyle education and include legisla- tion , organizational change , and community development . The Canadian approach to health promotion , which also was devel ...
... Participation is supported in policy decision making to identify what constitutes the common good . Priority is given to people whose living conditions , especially a lack of wealth and power , place them at greater risk . • Social ...
المحتوى
23 | |
HELEN HALPIN SCHAUFFLER | 37 |
E HAAVI MORREIM | 56 |
ANN ROBERTSON | 76 |
RONALD LABONTE | 95 |
Finding | 137 |
MEREDITH MINKLER | 153 |
Contributors | 171 |