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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... role of the state or employers in trying to change health - related behavior , the actual health and economic benefits of even trying , and the freedom and responsibility of those of us who , as citizens , will be the target of such ...
... role responsibility " in this schema may imply nothing more than one's " role " as a biological organism , “ causal responsibility " implicates the individual's choices and actions with regard to diet and exercise , for example , in ...
... role of broader environmental factors in influencing health and did not limit themselves to a discussion of individual lifestyle or personal behavior issues . The Surgeon General's report , for example , argued persuasively that " we ...
... role played by individual health behavior in contributing to accidents , illness and disease . " 18 In a now - classic series of studies , for example , Lester Breslow and his associates revealed that men who followed seven personal ...
... role of inten- tional or purposive action in health achievements . " Proponents of the human agency argument , for example , point to dramatic declines in cigarette smoking and consumption of saturated fats from the 1960s through the ...
المحتوى
23 | |
HELEN HALPIN SCHAUFFLER | 37 |
E HAAVI MORREIM | 56 |
ANN ROBERTSON | 76 |
RONALD LABONTE | 95 |
Finding | 137 |
MEREDITH MINKLER | 153 |
Contributors | 171 |