The government, the media, HMOs, and individual Americans have all embraced programs to promote disease prevention. Yet obesity is up, exercise is down, teenagers continue to smoke, and sexually transmitted disease is rampant. Why? These intriguing essays examine the ethical and social problems that create subtle obstacles to changing Americans' unhealthy behavior.

The contributors raise profound questions about the role of the state or employers in trying to change health-related behavior, about the actual health and economic benefits of even trying, and about the freedom and responsibility of those of us who, as citizens, will be the target of such efforts. They ask, for instance, whether we are all equally free to live healthy lives or whether social and economic conditions make a difference. Do disease prevention programs actually save money, as is commonly argued? What is the moral legitimacy of using economic and other incentives to change people's behavior, especially when (as with HMOs) the goal is to control costs?

One key issue explored throughout the book is the fundamental ambivalence of traditionally libertarian Americans about health promotion programs: we like the idea of good health, but we do not want government or others posing threats to our personal lifestyle choices. The contributors argue that such programs will continue to prove less than wholly successful without a fuller examination of their place in our national values.

The editors of this remarkable volume have collected 18 essays by humanists about Acquired Immune Deficiency Syndrome. AIDS seems to seek out as its victims the weakest and already victimized, writes Albert R. Jonsen, describing the inhumanity of this disease. Jonsen states that scientists have already fashioned a language for describing the disease in objective, clinical terms. What is needed now is a language to describe the human experience and instruct us on how to live humanely while AIDS is among us. To help construct this language, this collection examines AIDS from the perspective of the humanities: History can recall past experience for our instruction, Philosophy can define terms such as welfare, freedom, health, and disease, that guide our discourse, and Literature can reveal the images that shape the social reality of AIDS. Editors Eric T. Juengst and Barbara Koenig begin this study by delineating six interpretations of AIDS. Their aim is to demonstrate the many ways in which AIDS is viewed by society. The book is then divided into three parts. Part One examines how our current knowledge of AIDS was generated and how this knowledge is interpreted. Part Two explores the meaning of AIDS for health professionals and the ethical issues it can raise. Part Three examines public policy and AIDS. The contributors clarify and correct definitions, recall analogous incidents in our history and draw values and principles out of the obscurity of emotions and into the light of reason. divided into three parts. Part One examines the current knowledge of AIDS and how this knowledge is interpreted. Part Two explores the meaning and perceptions of AIDS in the medical community. Part Three examines public policy and AIDS. The contributors clarify and correct definitions, recall analogous incidents in our history and draw values and principles out of the obscurity of emotion and into the light of reason.