2009-02-26 野菜を食べろ，というパターナリズム。
_ パターナリズムということばを最近よく耳にする。あまり好きなことばではないが，支持者も多いらしい。
たばこ総合研究センター〔ＴＡＳＣ〕が編集・発行している雑誌『談』の最新号（ｎｏ．８３）が特集・パターナリズムと公共性，を組んでいる。まだ，しっかりとは読んでいないので，こちらの感想はあとまわしに。この雑誌のエディターとして辣腕をふるっている佐藤真さんの仕掛けたことなので，相当に期待はしているのだが，はたしてその内容たるやいかに。いずれ，ここでも取り上げて論じてみたいと思う。
それとは別に，ある友人が話してくれた日常のなかのパターナリズムについて，考えてみたい。
ある友人とは，４０歳前後と思われる女性編集者。生来の野菜ぎらいで，ふだんはほとんど野菜を食べない，という。そういう話をすると，インテリの女性執筆者の多くは，ほぼ間違いなく，野菜を食べないとからだに悪い，と懇切丁寧にお説教をしてくださるのだ，と。しかも，場合によっては，一つひとつ数字まであげて，どの野菜にどのような栄養価があって，１００グラムにつきどれだけの栄養素が含まれていて，人間のからだは一日にこれこれの量のこれこれの栄養素を摂取しなければならないのだ，とそれはそれは情熱をこめて説得にかかるそうである。なかには，万歩計で歩数を毎日はかって記録し，食べた食事の記録も数量化して，消費エネルギーと摂取栄養素との比較までしている人もいるとか。その上で過不足があれば，栄養補給のサプリメントを飲むそうな。そして，すべて，数字で表さないと気がすまない，とか。このぐらい気をつけていても，時折，風邪を引いてしまうから，貴女もちゃんとしなくちゃ駄目よ，という調子なそうな。
それに引き換え，女性編集者は，嫌いなものは食べない，もちろん，数量でからだの管理などはしない。しかも，その日に食べたいな，と思うものはどんどん食べる。つまり，からだが食べたがっているものはなんでも気が済むまで食べる。やや，肥満気味ではあるが，着痩せするので太っているとはだれも気づかない，とはご本人の弁。野菜を食べない代わりに，果物は大好きなのでいっぱい食べる，という。だから，これでいいんだ，と。しかも，よくよく聞いてみると，肉が食べたいなと思ったら，どんなふうに調理しようかと考える。たとえば，ピーマンと炒めて，唐がらしをいっぱい振りかけて食べたいと思ったら，ピーマンをいっぱい入れて炒める，という。滅多にこういうことはないけれども，食べたいお思ったときにはドッサリと食べるという。
そういう話をインテリの執筆者に話すと，そういうのを「わがまま放題というのだ」と叱られるそうな。毎日，満遍なく栄養のバランスを考えながら，きちんとした食生活を送ることが大事なのだから，必ず守らなくてはいけない，とこれまたお説教だそうな。でも，女性編集者は，かなり頻繁に健康診断をしてもらうことにしているが，医学的にはどこも異常はないし，体調もどこも悪くないし，風邪もほとんど引かない，という。でも，わたしのような食生活をしている人は少数派だから，いつも，みんなに総攻撃をくらってしまうが，間違っているでしょうか，と相談される。
そこで，わたしはどう答えたか。
インテリの執筆者のおっしゃることは，どこも間違ってはいません。だから，否定のしようがありません。まことに清く，正しく生活していらっしゃって，まさに世の鏡です。でも，ひとつだけ間違いがあります。それは，自分の正しいと信じている食生活を他者に押しつけることです。自分でひとり正しいと信じて，科学的な裏づけのもとに，自主管理することのできる人は立派です。だからといって，それを他者に押しつけるのは，わたしに言わせれば，こころのどこかに病的なものを感じてしまいます。自分のなかに，どこか，不安を感じている証拠です。ですから，みんな自分と同じようにすることを強要します。これが「パターナリズム」の原点だとわたしは考えています。つまり，正しいことをみんなに広めることは，正しい「公共性」を確保するために必要なのだ，と。
もちろん，これはほんの一例です。これと同じようなことが，もし，信仰の問題で強要されるとしたら，それは憲法違反です。信教の自由に反します。それでも，時折，街角で「折伏」と称するまじめな人びとに出会うことがあります。不幸にして，わたしは一度も，そういう人に声をかけられたことがない。一度だけ，こちらから声をかけて話をしたことがあります。１０分くらい話をしたら，向こうさんが逃げて行ってしまいました。なぜでしょう。わたしが質問攻めにしたからです。その質問に答えられなくなってしまったから。そういう矛盾だらけの，善意の押し売りは，信仰だけではなく，もちろん食生活だけてもなく，日常生活のいたるところにころがっています。ですから，わたしは基本的にパターナリズムは嫌いです。
しかし，公共の倫理や道徳が乱れてくると，それをなんとかすべきだという議論が必ず持ち上がってきます。たしかに，多くの人びとに迷惑をかけるようなマナーの悪さは困ったものです。だから，なんとかそれを制止しようという人びとが現れます。これがパターナリズムを生み出す根拠の一つではあります。
ですから，そのあたりのバランスの取り方が問題なわけです。でも，権力はパターナリズムが大好きですから，ちょっと気を許すと，いつのまにやらがんじがらめにされてしまいます。その典型的なものが「法律」というパターナリズムです。
車のシートベルトはその典型例です。安全を守る，というこのこと自体はまったく正しい。しかし，それを法律で規制して全員にそれを強要することの意味はなにか，一度，よくよく考えてみてください。だれのための安全なのか，自分で管理すればいいだけの話，というのがわたしの考え。したくない人はしなくてもいい，と。でも，いまではしないと法律違反です。
医療の現場で，もはや健康状態にはもどれないことが明白で，余命いくばくもない人に人口呼吸器を取り付けたりして，延命措置をとるのも，一種のパターナリズムです。このあたりになると，議論が百出してくることになります。また，臓器移植の問題も同じです。
ついでに言っておけば，ドーピングの問題も同じです。
となってくると，パターナリズムの根はきわめて深いということに気づくはずです。だからこそ，みんなで議論する必要があろう，というのが佐藤真さんの企みなのでしょう。
さあ，いまの仕事に一区切りついたら，『談』の最新号を読むことにしよう。
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