Libertarian paternalism and health care policy

A deliberative proposal

Giuseppe Schiavone, Gabriele De Anna, Matteo Mameli, Vincenzo Rebba, Giovanni Boniolo

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Cass Sunstein and Richard Thaler have been arguing for what they named libertarian paternalism (henceforth LP). Their proposal generated extensive debate as to how and whether LP might lead down a full-blown paternalistic slippery slope. LP has the indubitable merit of having hardwired the best of the empirical psychological and sociological evidence into public and private policy making. It is unclear, though, to what extent the implementation of policies so constructed could enhance the capability for the exercise of an autonomous citizenship. Sunstein and Thaler submit it that in most of the cases in which one is confronted with a set of choices, some default option must be picked out. In those cases whoever devises the features of the set of options ought to rank them according to the moral principle of non-maleficence and possibly to that of beneficence. In this paper we argue that LP can be better implemented if there is a preliminary deliberative debate among the stakeholders that elicits their preferences, and makes it possible to rationally defend them.

Original languageEnglish
Pages (from-to)103-113
Number of pages11
JournalMedicine, Health Care and Philosophy
Volume17
Issue number1
DOIs
Publication statusPublished - 2014

Fingerprint

Paternalism
Beneficence
paternalism
Policy Making
Public Policy
Health Policy
citizenship
stakeholder
health care
Psychology
Delivery of Health Care
evidence

Keywords

  • Deliberative democracy
  • Health choices
  • Libertarian paternalism

ASJC Scopus subject areas

  • Health Policy
  • Education
  • Health(social science)
  • Medicine(all)

Cite this

Libertarian paternalism and health care policy : A deliberative proposal. / Schiavone, Giuseppe; De Anna, Gabriele; Mameli, Matteo; Rebba, Vincenzo; Boniolo, Giovanni.

In: Medicine, Health Care and Philosophy, Vol. 17, No. 1, 2014, p. 103-113.

Research output: Contribution to journalArticle

Schiavone, G, De Anna, G, Mameli, M, Rebba, V & Boniolo, G 2014, 'Libertarian paternalism and health care policy: A deliberative proposal', Medicine, Health Care and Philosophy, vol. 17, no. 1, pp. 103-113. https://doi.org/10.1007/s11019-013-9502-4
Schiavone, Giuseppe ; De Anna, Gabriele ; Mameli, Matteo ; Rebba, Vincenzo ; Boniolo, Giovanni. / Libertarian paternalism and health care policy : A deliberative proposal. In: Medicine, Health Care and Philosophy. 2014 ; Vol. 17, No. 1. pp. 103-113.
@article{d0a0f305b66a47dfbd094f7e74de722d,
title = "Libertarian paternalism and health care policy: A deliberative proposal",
abstract = "Cass Sunstein and Richard Thaler have been arguing for what they named libertarian paternalism (henceforth LP). Their proposal generated extensive debate as to how and whether LP might lead down a full-blown paternalistic slippery slope. LP has the indubitable merit of having hardwired the best of the empirical psychological and sociological evidence into public and private policy making. It is unclear, though, to what extent the implementation of policies so constructed could enhance the capability for the exercise of an autonomous citizenship. Sunstein and Thaler submit it that in most of the cases in which one is confronted with a set of choices, some default option must be picked out. In those cases whoever devises the features of the set of options ought to rank them according to the moral principle of non-maleficence and possibly to that of beneficence. In this paper we argue that LP can be better implemented if there is a preliminary deliberative debate among the stakeholders that elicits their preferences, and makes it possible to rationally defend them.",
keywords = "Deliberative democracy, Health choices, Libertarian paternalism",
author = "Giuseppe Schiavone and {De Anna}, Gabriele and Matteo Mameli and Vincenzo Rebba and Giovanni Boniolo",
year = "2014",
doi = "10.1007/s11019-013-9502-4",
language = "English",
volume = "17",
pages = "103--113",
journal = "Medicine, Healthcare and Philosophy",
issn = "1386-7423",
publisher = "Springer Netherlands",
number = "1",

}

TY - JOUR

T1 - Libertarian paternalism and health care policy

T2 - A deliberative proposal

AU - Schiavone, Giuseppe

AU - De Anna, Gabriele

AU - Mameli, Matteo

AU - Rebba, Vincenzo

AU - Boniolo, Giovanni

PY - 2014

Y1 - 2014

N2 - Cass Sunstein and Richard Thaler have been arguing for what they named libertarian paternalism (henceforth LP). Their proposal generated extensive debate as to how and whether LP might lead down a full-blown paternalistic slippery slope. LP has the indubitable merit of having hardwired the best of the empirical psychological and sociological evidence into public and private policy making. It is unclear, though, to what extent the implementation of policies so constructed could enhance the capability for the exercise of an autonomous citizenship. Sunstein and Thaler submit it that in most of the cases in which one is confronted with a set of choices, some default option must be picked out. In those cases whoever devises the features of the set of options ought to rank them according to the moral principle of non-maleficence and possibly to that of beneficence. In this paper we argue that LP can be better implemented if there is a preliminary deliberative debate among the stakeholders that elicits their preferences, and makes it possible to rationally defend them.

AB - Cass Sunstein and Richard Thaler have been arguing for what they named libertarian paternalism (henceforth LP). Their proposal generated extensive debate as to how and whether LP might lead down a full-blown paternalistic slippery slope. LP has the indubitable merit of having hardwired the best of the empirical psychological and sociological evidence into public and private policy making. It is unclear, though, to what extent the implementation of policies so constructed could enhance the capability for the exercise of an autonomous citizenship. Sunstein and Thaler submit it that in most of the cases in which one is confronted with a set of choices, some default option must be picked out. In those cases whoever devises the features of the set of options ought to rank them according to the moral principle of non-maleficence and possibly to that of beneficence. In this paper we argue that LP can be better implemented if there is a preliminary deliberative debate among the stakeholders that elicits their preferences, and makes it possible to rationally defend them.

KW - Deliberative democracy

KW - Health choices

KW - Libertarian paternalism

UR - http://www.scopus.com/inward/record.url?scp=84892899256&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84892899256&partnerID=8YFLogxK

U2 - 10.1007/s11019-013-9502-4

DO - 10.1007/s11019-013-9502-4

M3 - Article

VL - 17

SP - 103

EP - 113

JO - Medicine, Healthcare and Philosophy

JF - Medicine, Healthcare and Philosophy

SN - 1386-7423

IS - 1

ER -