The government, the media, HMOs and individual Americans have all embraced programmes to promote disease prevention. Yet obesity is up, exercise is down, teenagers continue to smoke, and sexually transmitted disease is rampant. Why? These essays examine the ethical and social problems that create subtle obstacles to changing Americans' unhealthy behaviour. The contributors raise profound questions about the role of the state or employers in trying to change health-related behaviour, about the actual health and economic benefits of even trying, and about the freedom and responsibility of those of us who, as citizens, are the target of such efforts.
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"Insightful... provide[s] fascinating analyses....A must-read for all involved with health promotion and disease prevention programs and concerned about their social and ethical implications." -- "Choice"
"[A] scintillating collection of essays..." -- "Revue Canadienne de Sante Publique"
The co-founder and former president of the Hastings Center, Daniel Callahan is currently the director of international programs for the Hastings Center and author of The Troubled Dream of Life: In Search of a Peaceful Death, Setting Limits: Medical Goals in an Aging Society, and What Kind of Life?: The Limits of Medical Progress(Georgetown University Press).
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