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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... : Toward a Politics of Practice 95 BARBARA KOENIG AND ALAN STOCKDALE The Promise of Molecular Medicine in Preventing Disease : Examining the Burden of Genetic Risk 116 DANIEL CALLAHAN Freedom , Healthism , and Health Promotion :
... practice they fall far short of the high hopes invested in them . Obesity is up , exercise is down , teenagers continue to be drawn to smoking , and sexually transmitted disease goes on in its not - so - merry way . What's wrong ...
... practices ( often draconian in the past ) but now situated in a society more sensitive to civil liberties and uncertain how to balance severe health risks against potentially severe threats to liberty in trying to control them . It is ...
... practice and " good ethics . " The Contested Meaning of " Personal Responsibility for Health " As Daniel Wikler has argued , the seemingly simple premise that " individuals are responsible for their health " means very different things ...
... practices that imperil the environment , " and cuts in the very health and social services that have defined Canadians " as a caring people " present a stark contrast to " the optimistic days when the Ottawa Charter was first written ...
المحتوى
23 | |
HELEN HALPIN SCHAUFFLER | 37 |
E HAAVI MORREIM | 56 |
ANN ROBERTSON | 76 |
RONALD LABONTE | 95 |
Finding | 137 |
MEREDITH MINKLER | 153 |
Contributors | 171 |