Libertarian Paternalism and Health Care Policy: A Deliberative Proposal

Faculty/Professorship: Philosophy  
Author(s): Schiavone, Giuseppe; De Anna, Gabriele ; Mameli, Matteo; Rebba, Vincenzo; Boniolo, Giovanni
Title of the Journal: Medicine, health care and philosophy : a European journal ; the official journal of the European Society for Philosophy of Medicine and Health Care
ISSN: 1386-7423
Publisher Information: Dordrecht : Springer Science + Business Media B.V.
Year of publication: 2014
Volume: 17
Issue: 1
Pages: 103-113
Language(s): English
DOI: 10.1007/s11019-013-9502-4
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 connected the best of the empirical psychological and sociological evidence to 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.
GND Keywords: Politische Philosophie ; Paternalismus
Keywords: Liberalism, Paternalism, Deliberative democracy, Health Care, Autonomy
DDC Classification: 100 Philosophy  
RVK Classification: CC 7800   
Peer Reviewed: Ja
International Distribution: Ja
Type: Article
Year of publication: 4. September 2018