Social values and the corruption argument against financial incentives for healthy behaviour

<p>Financial incentives may provide a way of reducing the burden of chronic diseases by motivating people to adopt healthy behaviours. While it is still uncertain how effective such incentives could be for promoting health, some argue that, even if effective, there are ethical objections that...

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Prif Awdur: Brown, R
Fformat: Journal article
Cyhoeddwyd: BMJ Publishing Group 2016
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author Brown, R
author_facet Brown, R
author_sort Brown, R
collection OXFORD
description <p>Financial incentives may provide a way of reducing the burden of chronic diseases by motivating people to adopt healthy behaviours. While it is still uncertain how effective such incentives could be for promoting health, some argue that, even if effective, there are ethical objections that preclude their use. One such argument is made by Michael Sandel, who suggests that monetary transactions can have a corrupting effect on the norms and values that ordinarily regulate exchange and behaviour in previously non-monetised contexts. In this paper, I outline Sandel's corruption argument and consider its validity in the context of health incentives. I distinguish between two forms of corruption that are implied by Sandel's argument: <i>efficiency corruption</i> and <i>value corruption</i>. While Sandel's thought-provoking discussion provides a valuable contribution to debates about health policies generally and health incentives specifically, I suggest the force of his criticism of health incentives is limited: further empirical evidence and theoretical reasoning are required to support the suggestion that health incentives are an inappropriate tool for promoting health. While I do not find Sandel's corruption argument compelling, this only constitutes a partial defence of health incentives, since other criticisms relating to their use may prove more successful.</p>
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spelling oxford-uuid:bf86b70b-805b-4429-bee4-58933956fd722022-03-27T05:48:02ZSocial values and the corruption argument against financial incentives for healthy behaviourJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:bf86b70b-805b-4429-bee4-58933956fd72Symplectic Elements at OxfordBMJ Publishing Group2016Brown, R <p>Financial incentives may provide a way of reducing the burden of chronic diseases by motivating people to adopt healthy behaviours. While it is still uncertain how effective such incentives could be for promoting health, some argue that, even if effective, there are ethical objections that preclude their use. One such argument is made by Michael Sandel, who suggests that monetary transactions can have a corrupting effect on the norms and values that ordinarily regulate exchange and behaviour in previously non-monetised contexts. In this paper, I outline Sandel's corruption argument and consider its validity in the context of health incentives. I distinguish between two forms of corruption that are implied by Sandel's argument: <i>efficiency corruption</i> and <i>value corruption</i>. While Sandel's thought-provoking discussion provides a valuable contribution to debates about health policies generally and health incentives specifically, I suggest the force of his criticism of health incentives is limited: further empirical evidence and theoretical reasoning are required to support the suggestion that health incentives are an inappropriate tool for promoting health. While I do not find Sandel's corruption argument compelling, this only constitutes a partial defence of health incentives, since other criticisms relating to their use may prove more successful.</p>
spellingShingle Brown, R
Social values and the corruption argument against financial incentives for healthy behaviour
title Social values and the corruption argument against financial incentives for healthy behaviour
title_full Social values and the corruption argument against financial incentives for healthy behaviour
title_fullStr Social values and the corruption argument against financial incentives for healthy behaviour
title_full_unstemmed Social values and the corruption argument against financial incentives for healthy behaviour
title_short Social values and the corruption argument against financial incentives for healthy behaviour
title_sort social values and the corruption argument against financial incentives for healthy behaviour
work_keys_str_mv AT brownr socialvaluesandthecorruptionargumentagainstfinancialincentivesforhealthybehaviour