Scientific second-order ’nudging’ or lobbying by interest groups: the battle over Abdominal Aortic Aneurysm Screening Programmes

Medicine, Health Care and Philosophy 17 (4):641-650 (2014)
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The idea that it is acceptable to ‘nudge’ people to opt for the ‘healthy choice’ is gaining currency in health care policy circles. This article investigates whether researchers evaluating Abdominal Aortic Aneurysm Screening Programmes (AAASP) attempt to influence decision makers in ways that are similar to popular ‘nudging’ techniques. Comparing two papers on the health economics of AAASP both published in the BMJ within the last 3 years, it is shown that the values chosen for the health economics modelling are not representative of the literature and consistently favour the conclusions of the articles. It is argued (1) that this and other features of these articles may be justified within a Libertarian Paternalist framework as ‘nudging’ like ways of influencing decision makers, but also (2) that these ways of influencing decision makers raise significant ethical issues in the context of democratic decision making.



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Citations of this work

Letter to Editor.Lars Ehlers - 2020 - Medicine, Health Care and Philosophy 23 (3):537-539.
Letter to the editor.Thomas Ploug, Søren Holm & John Brodersen - 2020 - Medicine, Health Care and Philosophy 23 (3):541-542.

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References found in this work

Delibration and democratic legitimacy.Joshua Cohen - 1989 - In Derek Matravers & Jonathan Pike (eds.), Debates in Contemporary Political Philosophy: An Anthology. Routledge, in Association with the Open University.
Coercion.Robert Nozick - 1969 - In White Morgenbesser (ed.), Philosophy, Science, and Method: Essays in Honor of Ernest Nagel. St Martin's Press. pp. 440--72.
On Legitimacy and Political Deliberation.Bernard Manin - 1987 - Political Theory 15 (3):338-368.
Salvaging the concept of nudge: Table 1.Yashar Saghai - 2013 - Journal of Medical Ethics 39 (8):487-493.

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