This is an Author Accepted Manuscript (AAM). It has been deposited under the Creative Commons Attribution Non-commercial International Licence 4.0 (CC BY-NC 4.0). To do this, the deposit must clearly state that the AAM is deposited under this licence and that any reuse is allowed in accordance with the terms outlined by the licence. To reuse the AAM for commercial purposes, permission should be sought by contacting
[email protected]. For the sake of clarity, commercial usage would be considered as, but not limited to: o Copying or downloading AAMs for further distribution for a fee; o Any use of the AAM in conjunction with advertising; o Any use of the AAM by for promotional purposes by for-profit organisations; o Any use that would confer monetary reward, commercial gain or commercial exploitation. Paternalism and alcohol policy Kari Poikolainen, University of Helsinki, Finland Drugs and Alcohol Today, Publication date: 23 September 2020 https://doi.org/10.1108/DAT-07-2020-0048 Abstract Purpose - To investigate to what degree scientific evidence supports contemporary paternalistic alcohol policy practices targeting fully competent adults. Design/methodology/approach - Paternalism may be acceptable if it is effective, fair and protects the safety of the citizen or a third party from the harms caused by the citizen's autonomic actions. To be justifiable, paternalistic actions should bring about clearly more benefits than harms. Otherwise autonomy should prevail. The evidence related to alcohol control policies is assessed against these principles. Findings - In peaceful civilized societies alcohol control policies (high prices, restrictions on supply and marketing) have no or only insignificant effectiveness.