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The Weight's Over: Should Fat People Pay More for Health Insurance?

September 13th, 2007 @ 12:21 pm

14 Comments

Categories: Productivity, Workplace

Tags: Health Insurance, Health Care, Worker, Lori Deschene

desserts-at-work.jpgIn a previous blog, we questioned whether or not employers should encourage healthy lifestyles to increase productivity. If discounted gym memberships and healthy vending machine alternatives — no doubt, placed next to Snickers bars — don’t do the trick, new regulations may.

Companies can now charge unhealthy (overweight) workers more for their health insurance premiums than their healthier (skinnier) colleagues. Jerry Ripperger, director of consumer health at Principal Financial Group, stated that before federal laws were clarified, at least one person called in monthly to ask if an overweight employee could be charged a higher premium. Far more people are calling in now; one employer wanted to drop coverage altogether for a worker with a high body mass index. That isn’t an option, but the regulation does allow employers to “charge employees up to 20 percent of the value of the coverage if they don’t play by the “keep-your-butt-skinny” rules.

Smokers around the world are no doubt mumbling a collective, “It’s about time,” between puffs on cigarette breaks. As Rand Research affirms, obesity poses greater health risks than smoking, but until now, only smokers were penalized with premium hikes.

Of course this begs the questions, what’s next? Will we soon see increased premiums for people with troubled children? The resultant anxiety could translate into a whole lot of shrink visits for Paxil. Or what about hair loss? For some, this is a psychologically stressful situation, and therapy isn’t cheap.

Here’s another quandary: will higher insurance premiums actually improve US workers’ overall health, or just cause people to pass on coverage?

(Office Temptations Image by jeffreywithtwof’s)

 
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  •  
    1

    deniselinda.williams@...

    09/13/07 | Report as spam

    say NO! to neo-puritanism

    So, the employee now working longer hours than ever should pay a financial penalty for it? The reason so many people are out of shape is because they work themselves into exhaustion, and can only lie on the couch and twitch by the time they stagger home. What about the out-of-shape single parent working full time to support their kid? Would they be a better parent if they left the kid in childcare longer so they could create a gym body? Being skinny is not an indicator of a virtuous life. Being fat is not a personal failing.

  •  
    2

    tphillips@...

    09/14/07 | Report as spam

    RE: The Weight's Over: Should Fat People Pay More for Health Insurance?

    Why not look at the health of the person rather than their weight? All of my bloodwork and vital stats are well within the normal ranges and I weigh 246 pounds at 5'7". My doctor reran my bloodwork and then told me his nurse (5'9" and 119 lbs) would die to have my numbers for cholesterol, triglicerides, liver and kidney function; every single item was in the normal range. My HDL/LDL ratio is 4.9:1 - goal is 3.5:1.

    Why do I get to pay more of the health care costs for the unhealthy skinny people?

  •  
    3

    dwilson113

    09/14/07 | Report as spam

    RE: The Weight's Over: Should Fat People Pay More for Health Insurance?

    Perhaps increased premioms for people who are obese wouldn't be so offensive if the stated goal were something more important than "increasing productivity". Many people would better manage their weight if they perceived more benefit (saving money) from a body mass index within normal limits (<26) instead of the pleasure they get from their eating behaviors. Companies generally do little or nothing to encourage a truly healthy life-style. They do not create a culture of healthy behavior, and ignore the impact of the work environment on their employees.

  •  
    4

    Inga PK

    09/14/07 | Report as spam

    RE: The Weight's Over: Should Fat People Pay More for Health Insurance?

    I do share the view that those of bad habbits should pay more. No one is protected from health disorders, yet if you know that smoking, alcohol and overeating is direct way to illnesses, why should I contribute for curing it ? You have your pleasures, you pay for it. I'd be more glad to help those really in need.

  •  
    5

    Inga PK

    09/14/07 | Report as spam

    RE: The Weight's Over: Should Fat People Pay More for Health Insurance?

    Sorry, forgot the main idea: how realistically and objectively to set up criteria who is fat and how much ??

  •  
    6

    michael.conway

    09/14/07 | Report as spam

    RE: The Weight's Over: Should Fat People Pay More for Health Insurance?

    The epidemic of obesity is greater than insurance premiums. I suggest we pass along additional health care cost's to the Archer Daniels Midland Company. They should take responsibility for the quantity of corn syrup in our diets. The fact is that the federal government would rather subsidize a giant corporation that provides electoral contributions, then subsidize and care for the health of it's citizens. Maybe the increased use of ethanol will force the value of corn high enough that the result is a food supply that isn't poisonous. More Sunny D anyone?

  •  
    7

    boulder1259

    09/14/07 | Report as spam

    I'm all for encouraging healthy behaviour

    Overeating and smoking are voluntary behaviors, and they are not the tobacco
    company's or food company's fault. If I were you boss and saw this kind of
    behavior (always blaming someone else for something than is within your own
    control), I'd wonder how well you represent my firm.

  •  
    8

    rsw123

    09/14/07 | Report as spam

    RE: The Weight's Over: Should Fat People Pay More for Health Insurance?

    By that logic, can an employee demand that an employer pay a larger percentage of their premiums if the employee's job stress is increased due to things like cutbacks that result in more being asked of less people? Certainly stress can cause as many -- or more -- health problems. When are we as a nation going to put our energies into actually fixing our dismal health care system, instead of wasting time on nonsense like this? We just keep paying more, and getting less.

  •  
    9

    Ebizma

    09/14/07 | Report as spam

    RE: The Weight's Over: Should Fat People Pay More for Health Insurance?

    No. No. No. No. No.
    This is the chess move of death. It might look like a field day to lawfirms, ACLU, and the NAACP to name a few, but to state it simply IT IS NOT GOOD BUSINESS PRACTICE FROM THE HUMAN STANDPOINT AT ALL.

  •  
    10

    phnxrisn

    09/14/07 | Report as spam

    Should Fat People pay more for health insurance

    There are several studies out in the Journal of Occuaptional and Environmental Medicine that show obesity is a significant risk factor for diabetes; coronary disease; and even respiratory ailments. Obesity is also a risk factor for work related injuries. Obsetiy is also a causitive factor in delayed recovery from illness and injury.
    However, I do not agree that the obese should pay more. We should be promoting good health, not punishing the lack of it. I look at it that this way.
    An Employee spends more time at work than any where else. Therefore the employee's real time community is the work place. How about the employer offering the service of a Wellness Program. Participants would have access to education about thier health risks, shown user friendly ways AND valid ways to improve thier health, and would have the opportunity to use benchmarks that show how they have improved.
    The benefit to the participating employee is greater wellbeing. Also, if you are healthier, you have fewer co pays each year.
    If the number of absences you have decreases, you are better able to show your bosses your productivity up to par. Morale in your unit with regard to you will improve because co workers are not having to take up the slack while you are gone.

    The benefit to the employer is multiple:
    First: Increased productivity because there would be fewer days of for illness. This means deadlines are met and customers are happy.
    Second: Co workers would not have to "pick up the load" of the absent employee, so morale would improve.
    Third: The claim history on which health insurance companies base their premiums, whould decline, thereby reducing the amount of the premium.

    There are several Fortune 500 companies that are trying various forms of Wellness Programs. Some are working out better than others. I would like to see more effort in this direction.

  •  
    11

    Jade37

    09/15/07 | Report as spam

    RE: The Weight's Over: Should Fat People Pay More for Health Insurance?

    I believe that people have a responsibility. Except in the case of malfunctioning thyroid glands or other uncontrollable ailment, obesity stems from lack of control and gluttony. In this case, it is self-induced. Therefor, like smokers must pay higher premiums, so should those who cannot resist the temptations of overeating. Smokers who do not want higher premiums stop smoking. Obese people who do not want higher premiums will live healthier lifestyles--which is to there best interest anyway.

  •  
    12

    tthornton

    09/17/07 | Report as spam

    RE: The Weight's Over: Should Fat People Pay More for Health Insurance?

    I'm all for holding people accountable, but before we start penalzing folks for being overweight, we need to recognize that the corporate/industrial/factory farming practices that now provide most of the food we eat, play a key role in helping people get fat and keeping people fat. This is not a cop out...you can read it for yourself in books like, 'The Ethics of What We Eat' and Barbara Kingsolver's new book 'Animal, Vegetable, Miracle'. Unless the government is going to hold the corporations responsible for providing cheap, empty-calorie foods to people who may not be able to afford better, then we shouldn't put all the blame on people who consume them.

  •  
    13

    ironplow

    09/18/07 | Report as spam

    Diets don't work

    The last time I checked there is NO safe method for losing weight that has a 5-year success rate over 5%. Charging fat people more for insurance is simply discriminatory.

  •  
    14

    buckprof

    09/24/07 | Report as spam

    RE: The Weight's Over: Should Fat People Pay More for Health Insurance?

    I think people will say and do about anything to show their resistance to doing the right thing- when it interferes in their style of life (don't believe it? just read these blogs!)

    At some point (and I am not convinced that we, as a society are yet there), the damned government will have to step in and force change upon us all. Even the richest country in the world can't afford to let the masses continue going the direction we are. Only the government is strong enough to force such change. Individual companies will simply continue to go out of business, or not form, because of the projected healthcare costs. It is unsustainable for companies to bear the cost of our individual idiocies.

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