Active choice is the removal of default options, thus requiring decision makers to actively select between options. Further, enhanced active choice builds on the removal of default options by increasing the salience of the options' consequences. For instance, enhanced active choice may present the decision of not receiving a flu shot as "I will not receive a flu shot, putting myself at risk of catching the flu". The concept of active choice originated from concerns surrounding unethical practices of libertarian paternalism in specific contexts, such as individual health decision making.