This paper develops and defends the claim that the promotion of human well-being is a philosophical basis or rationale for health services. It first sketches a case for this thesis, then defends it against various objections arising from the contrary position, here dubbed The Sceptical View. Later sections of the paper elaborate on the meaning of ‘well-being’, the nature of well-being, and the scope of appropriate health service concern with well-being. In particular, distinctions are made between ‘thick’ and ‘thin’ well-being, (...) and between well-being and its various measures. These discussions generate further defences of the philosophical centrality of human well-being to health services. (shrink)

This paper shows how one major area of health education work (smoking cessation) involves powerful, but currently largely implicit, philosophies of action. The analysis draws on empirical data derived from a previous study of would-be non-smokers' private explanations for their success or failure. Will-power, or the lack of it, emerged as a central theme in this study—a theme equally prevalent in almost all ‘How to Stop Smoking’ books and related health education pamphlets. The nature of will-power has long been discussed (...) by philosophers. However, will-power remains largely undefined and unresearched in health education. The would-be non-smokers also claimed to feel that they were making inauthentic or non-genuine choices (a theme which has also been the subject of philosophical analysis). If health educators were to develop a deeper understanding of will-power and authenticity (and were to appreciate that these ideas are complex rather than simple) this might have a considerable effect on the design of practical health education initiatives. (shrink)