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Denial of Treatment to Obese Patients—the Wrong Policy on Personal Responsibility for Health

机译:拒绝对肥胖患者进行治疗-有关个人健康责任的错误政策

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摘要

In many countries around the world, including Iran, obesity is reaching epidemic proportions. Doctors have recently taken, or expressed support for, an extreme ‘personal responsibility for health’ policy against obesity: refusing services to obese patients. This policy may initially seem to improve patients’ incentives to fight obesity. But turning access to medical services into a benefit dependent on health improvement is a bad policy. It conditions the very aid that patients need in order to become healthier or success in becoming healthier. Whatever else we may think of personal responsibility for health policies, this particular one is absurd. Unfortunately, quite a few personal responsibility for health policies use similar absurd conditioning. They mistakenly use ‘carrots’ or ‘sticks’ for adherence the basic means to the same health outcomes that they seek to promote. This perspective proposes the following rule of thumb: any conditional incentive for healthy choice should be in a currency other than the basic means to that healthy choice.
机译:在包括伊朗在内的世界许多国家,肥胖症正在蔓延。最近,医生已经采取或表示支持针对肥胖的极端“个人健康责任”政策:拒绝为肥胖患者提供服务。这项政策最初似乎可以改善患者对抗肥胖的动机。但是,将获得医疗服务变成依赖于健康改善的福利是一个坏政策。它调节了患者变得更健康或成功变得更健康所需的非常有帮助的条件。不管我们对健康政策的个人责任有何看法,这一特殊事实都是荒谬的。不幸的是,许多对健康政策的个人责任使用了类似的荒谬条件。他们错误地使用“胡萝卜”或“棍子”来坚持基本手段,以达到他们想要促进的相同健康结果。这种观点提出了以下经验法则:对健康选择的任何有条件的激励,都应以不同于该健康选择的基本手段的货币来表示。

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  • 作者

    Eyal Nir;

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  • 年度 2013
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  • 正文语种 en
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