A balanced intervention ladder: promoting autonomy through public health action

Public Health
P E Griffiths, C West

Abstract

The widely cited Nuffield Council on Bioethics 'Intervention Ladder' structurally embodies the assumption that personal autonomy is maximized by non-intervention. Consequently, the Intervention Ladder encourages an extreme 'negative liberty' view of autonomy. Yet there are several alternative accounts of autonomy that are both arguably superior as accounts of autonomy and better suited to the issues facing public health ethics. We propose to replace the one-sided ladder, which has any intervention coming at a cost to autonomy, with a two-sided 'Balanced Intervention Ladder,' where intervention can either enhance or diminish autonomy. We show that not only the alternative, richer accounts of autonomy but even Mill's classic version of negative liberty puts some interventions on the positive side of the ladder.

References

Jun 2, 2015·Public Health·Gerard Hastings

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Citations

Apr 8, 2016·Current Obesity Reports·Martin Binks
Aug 19, 2015·Public Health·Roger S Magnusson, Paul E Griffiths
Jan 22, 2017·International Journal of Cancer. Journal International Du Cancer·Gary O'DonovanEmmanuel Stamatakis
Feb 24, 2017·Journal of Medical Ethics·Julian Savulescu
Mar 3, 2018·Journal of Bioethical Inquiry·Bridget HaireC Raina MacIntyre
Nov 4, 2017·Clinical Chemistry·Harry Rutter
Apr 4, 2017·Australian and New Zealand Journal of Public Health·Emily HaynesDianne P Reidlinger
Jul 20, 2017·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·E J Vargas-GarciaJ E Cade
Oct 4, 2020·International Journal of Environmental Research and Public Health·Ingrid StegemanCaroline Costongs
Jan 9, 2021·Tobacco Control·Yvette van der Eijk, Jacinta I-Pei Chen
Apr 4, 2021·International Journal of Environmental Research and Public Health·Youngha Song, Junhewk Kim

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