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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النتائج 1-5 من 27
... percent of Americans were overweight in the mid - 1990s.22 More than 60 percent of adults are not physically active on a regular basis and 25 percent lead sedentary lives.23 While smoking rates dropped substantially from 40 percent in ...
... 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 percent from 1980 to 1994,27 and the proportion of high school students ...
... percent ( N = 1,911 ) with no significant differences at baseline in the health habits and behaviors of participants and nonparticipants . Although this trial was limited to a largely white , middle - class community , the finding of ...
... percent excess mortality rate . " Significant differences in mortality remained even when smoking , diet , exercise , and other traditional risk factors were controlled for . 46 Increasing scholarly effort has been devoted to ...
... percent above the national average . The implications of such findings are troubling , and they suggest the need for far more serious attention to the racial / ethnic and related aspects of the social environment in which health ...
المحتوى
23 | |
HELEN HALPIN SCHAUFFLER | 37 |
E HAAVI MORREIM | 56 |
ANN ROBERTSON | 76 |
RONALD LABONTE | 95 |
Finding | 137 |
MEREDITH MINKLER | 153 |
Contributors | 171 |