In Reply In our Viewpoint,1 we proposed a range of domains of human life—including happiness, health, purpose, character, social relationships, and financial security—that should arguably be taken into account in medical decision-making. In his letter, Dr Card is supportive of the use of the flourishing framework to understand the complexities of patient decision-making and clinician burnout and as an overarching goal for policy making. However, he questions the usefulness of flourishing as a way to define health.
VanderWeele TJ, McNeely E, Koh HK. Flourishing as a Definition of Health—Reply. JAMA. 2019;322(10):981–982. doi:10.1001/jama.2019.10355
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