International journal of health policy and management
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Int J Health Policy Manag · Nov 2014
Knowledge, moral claims and the exercise of power in global health.
A number of individuals and organizations have considerable influence over the selection of global health priorities and strategies. For some that influence derives from control over financial resources. ⋯ In contrast to financial power, we commonly take for granted that epistemic and normative forms of power are legitimate. I argue that we should not; rather we should investigate the origins of these forms of power, and consider under what circumstances they are justly derived.
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Int J Health Policy Manag · Nov 2014
Radically questioning the principle of the least restrictive alternative: a reply to Nir Eyal: Comment on "Nudging by Shaming, Shaming by Nudging".
In his insightful editorial, Nir Eyal explores the connections between nudging and shaming. One upshot of his argument is that we should question the principle of the least restrictive alternative in public health and health policy. In this commentary, I maintain that Eyal's argument undermines only a rather implausible version of the principle of the least restrictive alternative and I sketch two reasons for rejecting the mainstream and more plausible version of this principle.
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Int J Health Policy Manag · Nov 2014
Nudging, shaming and stigmatising to improve population health: Comment on "Nudging by shaming, shaming by nudging".
Nudges are small, often imperceptible changes to how particular decisions present themselves to individuals that are meant to influence those decisions. In his editorial, 'Nudging by shaming, shaming by nudging', Eyal highlights links between nudges and feelings of shame on the part of the 'chooser'. In this commentary, I suggest two further distinctions between different types of shame-based nudges that should affect our assessment of such nudges.