Journal of Medical Ethics 45 (3):183-189 (2019)

Ittay Nissan-Rozen
Hebrew University of Jerusalem
There is an extensive ethical debate regarding the justifiability of doctors nudging towards healthy behaviour and better health-related choices. One line of argument in favour of nudging is based on empirical findings, according to which a healthy majority among the public support nudges. In this paper, we show, based on an experiment we conducted, that, in health-related choices, people’s ethical attitudes to nudging are strongly affected by the point of view from which the nudge is considered. Significant differences have been found between doctors’ ethical attitude to clinical nudging and that of patients. We show how these differences weaken the argument for nudging from public support. Moreover, our findings raise concerns regarding doctors’ ability to nudge ethically according to their own standards, as they may underestimate the degree of harm medical nudges can cause to informed consent, doctor–patient trust and other important ethically relevant features of health-related choices.
Keywords Nudge  Informed Consent  Autonomy
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DOI 10.1136/medethics-2018-104978
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References found in this work BETA

Nudging and Informed Consent.Shlomo Cohen - 2013 - American Journal of Bioethics 13 (6):3-11.
Nudging, Autonomy, and Valid Consent: Context Matters.Franklin G. Miller & Luke Gelinas - 2013 - American Journal of Bioethics 13 (6):12-13.

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Citations of this work BETA

Commitment Devices: Beyond the Medical Ethics of Nudges.Nathan Hodson - forthcoming - Journal of Medical Ethics:medethics-2021-107967.

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