UK may cut welfare if you don’t diet

If you are a fat, unemployed Brit, a long Lent lies before you. Prime Minister David Cameron will announce today that people on sickness benefits because of obesity or alcohol or drug addiction could lose them if they do not follow doctor’s orders.

Mr Cameron has asked health expert Prof Dame Carol Black to study whether benefits should be withheld from those who refuse assistance. His prepared remarks say:

“Too many people are stuck on sickness benefits because of issues that could be addressed but instead are not. Some have drug or alcohol problems, but refuse treatment. In other cases, people have problems with their weight that could be addressed, but instead a life on benefits rather than work becomes the choice.

“It is not fair to ask hardworking taxpayers to fund the benefits of people who refuse to accept the support and treatment that could help them get back to a life of work. The next Conservative government is determined to make sure that the hardest to help get the support they need to get them back to a fulfilling life.”

The notion that the government should meddle with lifestyles is popular with cost-cutting bureaucrats but controversial among doctors and libertarians.

Mr Cameron’s present idea is the sharp end of the stick, but behavioural change through “nudging” has been on the government’s agenda for several years. The idea stems from the 2008 book Nudge: Improving Decisions About Health, Wealth, and Happiness, by US academics Richard Thaler and Cass Sunstein. Their theory is that personal freedom and paternalism are not mutually exclusive and that the state should act as a guiding hand, gently and inobtrusively “nudging” citizens to accept its policies.

The views, opinions and positions expressed by these authors and blogs are theirs and do not necessarily represent that of the Bioethics Research Library and Kennedy Institute of Ethics or Georgetown University.