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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... risk factors such as cigarette smoking , poor diet , and heavy drinking . The individual is seen as the appropriate focus for intervention to control risk factors , with those interventions typically consisting of providing knowledge ...
... risk factors were controlled for . 46 Increasing scholarly effort has been devoted to elucidating those mediating factors that may explain the relationship between personal responsibility and socioeconomic status ( SES ) . Central to ...
... factors like higher income and greater discretion , and latitude and control over decision making at work may ... risk factor for heart disease , depression , and other illnesses . And only with the advent of a movement for environ ...
... Risk Intervention Project ( SCRIP ) , " Circulation 85 , no . 4 ( 1991 ) : II - 140 . 31. Kenneth Pelletier , " A ... Risk Factors , " Circulation 88 , no . 3 ( 1993 ) : 1376-80 . 38. Farquhar , " Keynote Address . " 39. Neubauer 18 ...
... risk factors , leading to victim blaming . Furthermore , health promotion tends to exclude per- sons with the problem or most at risk for it in the problem definition and the selection of approaches . Even more , health promotion is ...
المحتوى
23 | |
HELEN HALPIN SCHAUFFLER | 37 |
E HAAVI MORREIM | 56 |
ANN ROBERTSON | 76 |
RONALD LABONTE | 95 |
Finding | 137 |
MEREDITH MINKLER | 153 |
Contributors | 171 |