“…The efficacy of health messages presupposes that health communication is targeted and purposive communication whose goal is to effect positive changes in people’s lives through health promotion and disease prevention. Hence, its goals are benevolent, righteous, virtuous and altruistic ( Andreasen, 2001 ; Guttman, 2000 , 2003 : Kirklin, 2007a , 2007b ; Kozlowski and O’Connor, 2003 ; Lee, 2011 , 2013 ; Lee and Cheng, 2010 :; Seedhouse, 2004 ). Celebrations of the virtues of health communications tend to overlook that the quality, policy objectives and symbolic intentions of health communication are equally contestable just as any other empirical and academic pursuit.…”