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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How Much Freedom? Whose Responsibility? Daniel Callahan. While smoking rates ... smoking " the most devastating cause of disease and premature death this ... cessation and other lifestyle changes . 32 The Los Angeles - based Medicare ...
... smoking behavior in spite of intensive intervention over a six - year period . " 74 Similarly , the widely touted COMMIT ( Community Intervention Trial for Smoking Cessation ) project , which represented the most ambitious and ...
... Quit Smoking in the United States : Do Cessation Programs Help ? " JAMA 263 , ( 1990 ) : 2760-65 . 30. William Haskell et al . , " Beneficial Angiographic and Clinic Response to Multifactor Modification in the Stanford Coronary Risk ...
... Smoking and Health , 1994 ) . 73. Syme , " Strategies for Health Promotion . " 74. Syme , " Rethinking Disease . " 75. B. L. Thompson et al . , “ Principles of Community Organization and Partnership for Smoking Cessation in the ...
... smoking cessation , even after years of heavy smoking , increases the probability of reversing lung damage in populations . The current tobacco wars rely on a broad approach to health promotion , targeting not only " risk takers , " but ...
المحتوى
23 | |
HELEN HALPIN SCHAUFFLER | 37 |
E HAAVI MORREIM | 56 |
ANN ROBERTSON | 76 |
RONALD LABONTE | 95 |
Finding | 137 |
MEREDITH MINKLER | 153 |
Contributors | 171 |