BMC Medical Ethics 17 (1):1-8 (2016)

Abstract
BackgroundIn many countries health insurers, employers and especially governments are increasingly using pressure and coercion to enhance healthier lifestyles. For example by ever higher taxes on cigarettes and alcoholic beverages, and ever stricter smoke-free policies. Such interventions can enhance healthier behaviour, but when they become too intrusive, an unfree society can emerge. Which lifestyle interventions that use pressure or coercion are justifiable and which are not? We tried to develop an assessment model that can be used for answering this question, on a generally acceptable way, for all sorts of lifestyle interventions.MethodsThe intended assessment model was developed in three phases. In the first phase the model was theoretically developed on the basis of literature study and reasoning. In the second phase the model was empirically tested by assessing two detailed cases from everyday practice using the model. The model was improved again and again. In the third phase the 10th version of the model was developed while writing this article.ResultsAn assessment model for the justification of intrusive lifestyle interventions. It comprises three components: 12 assessment criteria ; an assessment structure with three filters ; a way of assessing.ConclusionsWe have developed an assessment model for the justification of lifestyle interventions that use pressure or coercion to promote health. The correctness, completeness and practicality of the model are likely. Important principles for the justification are the logic and completeness of the underlying argumentation and the proper use of the available scientific information. Parties for and against a particular intervention could use the model to test and strengthen their argumentation and to improve the quality of the intervention.
Keywords Public health  Lifestyle related diseases  Intrusive interventions  Assessment model  Justification  Freedom  Privacy  Responsibility
Categories (categorize this paper)
ISBN(s)
DOI 10.1186/s12910-016-0097-1
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 72,577
Through your library

References found in this work BETA

The Logic of Scientific Discovery.K. Popper - 1959 - British Journal for the Philosophy of Science 10 (37):55-57.
Public Health Ethics Theory: Review and Path to Convergence.Lisa M. Lee - 2012 - Journal of Law, Medicine and Ethics 40 (1):85-98.
Debate: State Paternalism, Neutrality and Perfectionism.Simon Clarke - 2006 - Journal of Political Philosophy 14 (1):111–121.

Add more references

Citations of this work BETA

No citations found.

Add more citations

Similar books and articles

Ethical Approaches to Lifestyle Campaigns.William J. Brown & Martine P. A. Bouman - 2010 - Journal of Mass Media Ethics 25 (1):34-52.
Chronic Mental Illness and the Limits of the Biopsychosocial Model.Dirk Richter - 1999 - Medicine, Health Care and Philosophy 2 (1):21-30.
A Model for Feed-Forward Assessment of Student Learning in Industry-Issues Courses.Kelly C. Strong & Rhonda Wiley Jones - 2005 - Proceedings of the International Association for Business and Society 16:379-380.
Lifestyle, Responsibility and Justice.E. Feiring - 2008 - Journal of Medical Ethics 34 (1):33-36.
Knowledge of Counterfactual Interventions Through Cognitive Models of Mechanisms.Jonathan Waskan - 2008 - International Studies in the Philosophy of Science 22 (3):259 – 275.
Against the Asymmetric Convergence Model of Public Justification.James W. Boettcher - 2015 - Ethical Theory and Moral Practice 18 (1):191-208.
How to Assess Theories of Meaning? Some Notes on the Methodology of Semantics1.Lukáš Bielik - 2012 - Organon F: Medzinárodný Časopis Pre Analytickú Filozofiu 19 (3):325-337.
Moral Responsibility for (Un)Healthy Behaviour.Rebecca C. H. Brown - 2013 - Journal of Medical Ethics 39 (11):695-698.
On the Rational Explanation of the Scientific Change.William H. Newton-Smith - 1981 - Grazer Philosophische Studien 12 (1):47-77.

Analytics

Added to PP index
2016-02-20

Total views
31 ( #372,901 of 2,533,597 )

Recent downloads (6 months)
1 ( #389,998 of 2,533,597 )

How can I increase my downloads?

Downloads

My notes