Abstract

http://ssrn.com/abstract=2352339
 


 



Denial of Treatment to Obese Patients - The Wrong Policy on Personal Responsibility for Health


Nir Eyal


Harvard Medical School

November 10, 2013

International Journal of Health Policy and Management, 2013, 1(2), 107–110

Abstract:     
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.

Number of Pages in PDF File: 4

Keywords: Obesity; Patient Compliance; Refusal to Treat; Health Promotion; Motivation

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Date posted: November 10, 2013  

Suggested Citation

Eyal, Nir, Denial of Treatment to Obese Patients - The Wrong Policy on Personal Responsibility for Health (November 10, 2013). International Journal of Health Policy and Management, 2013, 1(2), 107–110. Available at SSRN: http://ssrn.com/abstract=2352339

Contact Information

Nir Eyal (Contact Author)
Harvard Medical School ( email )
250 Longwood Avenue
Boston, MA 02115
United States
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