Employment: So Much for Personal Habits
Professor
Associate Chair of Academics
Social and Behavioral Sciences Department
Boston University School of Public Health
Backlash Against Bosses on Strict Health Rules
By Scott Hensley
October 18, 2007
Most Americans say employers shouldn’t have the right to require that their workers participate in programs to stop smoking or shed pounds, says a poll by The Wall Street Journal Online/Harris Interactive.
More and more companies are adopting stricter wellness policies to keep health-care costs in line. But the moves are meeting resistance.
Sixty-five percent of respondents believe employers shouldn’t have the right to mandate smoking-cessation programs or to fire an someone who is unwilling to quit smoking, the survey results say. Two-thirds say bosses shouldn’t be able to require attendance in weight-loss programs or to fire someone who doesn’t lose weight.
While nearly a third of those polled say it’s OK for employers to require attendance in smoking-cessation or weight-loss programs, few participants in the poll said they believe employers have the right to fire employees for smoking (7%) or for being seriously overweight (4%).
The online survey of 2,267 adults, conducted Oct. 8-10, indicates declining public support for charging higher insurance premiums or out-of-pocket medical costs to people with unhealthy lifestyles. Forty-two percent of U.S. adults think it is unfair to ask people with unhealthy lifestyles to pay higher insurance premiums than people with health lifestyles, compared with 37% who say it is fair. And about a third believe those with unhealthy lifestyles should pay higher deductibles or co-payments for their medical care vs. 46% who disagree.
Susan M. Heathfield
Lawyers to the rescue
By Sandy Szwarc
Read More
More than 6,000 U.S. Employers Refuse to Hire Smokers
By Michael Siegel
According to a recent article in the Daytona Beach News-Journal, at least 6,000 U.S. employers refuse to hire smokers, and the number may be even higher than that.
The article states that “in recent years a growing number of firms nationwide have decided that allowing employees to smoke only outdoors is not enough. At least 6,000 employers refuse to hire smokers, according to the National Workrights Institute, an affiliate of the American Civil Liberties U nion or ACLU. Jeremy Gruber, a spokesman for the group’s New Jersey affiliate, said the figure is probably higher. ‘That was an old survey,’ Gruber said recently. ‘It has become far more prevalent.'”
The article explains that: “At private companies, economics, not surprisingly, is the driving force behind the growth in anti-smoking regulations, with savings on health care as a primary reason. The Centers for Disease Control and Prevention estimated that it cost the nation $3,383 a year for every smoker. That breaks down to $1,760 in lost productivity and $1,623 in medical bills.”
One such company is Orland Beach, Florida-based The Homac Companies, a designer, manufacturer, and distributor of electrical connectors. If you click on the Careers link looking for a position with the company, you will be greeted by the message “Tobacco Free Candidates Only.” Even if you are just looking for an internship with Homac, you are also greeted by the message “Tobacco Free Candidates Only.”
Homac’s mission is “to be a premier manufacturer and supplier of Electric Power Delivery Connectors and Cable Accessories; we are committed to world class performance as demonstrated by continuous improvement in safety, innovation, quality, cost, flexibility, and customer satisfaction.”
The Rest of the Story
This is a great example of blatant employment discrimination. Whether one smokes or not, or uses smokeless tobacco or not, has no relevance to one’s qualifications for a job making and selling quality electrical connectors and accessories. Can you tell me in what way an employee’s smoking status affects his ability to design, develop, make, distribute, or sell an aluminum bus support bolt circle height adapter or a #4 – 250 AAC bolted aluminum cable?
If anything, this job discrimination makes it more difficult and less likely that Homan will be able to produce quality bolted aluminum cables because they are automatically precluding from potential employment about 20% of the population, which undoubtedly includes some of the most qualified candidates for such a job.
Tobacco use status of an employee also has no relation to the Homan Companies mission. How does whether an employee smokes or not in the privacy of his or her own home affect the company’s mission of being a premier manufacturer and supplier of electric power delivery connectors and cable accessories?
Perhaps I could understand if this were a company whose mission was to provide smoking cessation services to addicted smokers, but how does my smoking status affect my ability to make electrical connectors?
Perhaps more importantly, what right does my employer have to even inquire about my lawful personal behavior in my own home, if it is not directly related either to a bona fide job requirement or to the company’s mission?
One might argue that the employer has the right to ask about my tobacco use in my home because he wants to reduce health care costs and he believes that my health care costs may be higher if I am a smoker. The problem is that if the invasion of my privacy about my own personal lifestyle is justified in order for the employer to reduce his health care costs, then the employer is also perfectly at liberty to ask me about my diet, the number of times I exercise each week, how much I weigh, and various aspects of my sexual behavior (limited only, in some states, by questions related to my sexual orientation).
For example, the company would be perfectly justified in greeting potential job applicants with the message “Fat People Need Not Apply,” “One Sexual Partner Applicants Only,” or “Applicants without Children Under Five Years Old Only.”
My argument here is that not only is this blatant discrimination, but it is an undue invasion of individual privacy. Can you imagine having to fill out a questionnaire about all of your personal health habits, including your diet, physical activity, hours of sun exposure, use of sunscreen, use of seat belts, and sexual behavior before even being allowed to apply for a job?
It’s pretty obvious to me that such a questionnaire would represent an undue, and obnoxious, invasion of privacy. So why then is it not similarly an inappropriate invasion of privacy to ask about my tobacco use history?
The answer is simple: it is an inappropriate invasion of privacy to ask about my tobacco use off-the-job, unless it is directly related either to the job requirements or to the company mission.
The failure of any U.S. anti-smoking groups to speak out against this widespread employment discrimination and invasion of privacy is unfortunate, and it illustrates the “end justifies the means” mentality of the modern anti-smoking movement.
Sure – discriminating against smokers and interfering with their privacy may help to lower smoking rates and save employers money. But it is inappropriate and has no place in public health. Anti-smoking groups should be ashamed of themselves for failing to speak out strongly against this obnoxious practice.
Study: Fat workers cost employers more
By CARLA K. JOHNSON, Associated Press Writer
Study: Fat Workers Cost Employers More
4/23/07
By CARLA K. JOHNSON, Associated Press Writer
Overweight workers cost their bosses more in injury claims than their lean colleagues, suggests a study that found the heaviest employees had twice the rate of workers’ compensation claims as their fit co-workers.
Obesity experts said they hope the study will convince employers to invest in programs to help fight obesity. One employment attorney warned companies that treating fat workers differently could lead to discrimination complaints.
New Study on Obesity Costs Shows Folly of Smoker-Free Employment Policies
By Michael Siegel
According to an Associated Press article published Monday in the Boston Globe, a new study has shown that “fat workers cost employers more.” AP writer Carla K. Johnson writes that: “Overweight workers cost their bosses more in injury claims than their lean colleagues, suggests a study that found the heaviest employees had twice the rate of workers’ compensation claims as their fit co-workers.”
“Duke University researchers also found that the fattest workers had 13 times more lost workdays due to work-related injuries, and their medical claims for those injuries were seven times higher than their fit co-workers. Overweight workers were more likely to have claims involving injuries to the back, wrist, arm, neck, shoulder, hip, knee and foot than other employees. The findings were based on eight years of data from 11,728 people employed by Duke and its health system. Researchers found that workers with higher body mass indexes, or BMIs, had higher rates of workers’ compensation claims. The most obese workers — those with BMIs of 40 or higher — had the highest rates of claims and lost workdays.”
The study was published in the current issue of Archives of Internal Medicine.
Based on these findings, the authors of the study recommended that employers institute fitness programs to help their overweight employees lose weight.
In response to the study: “New York employment attorney Richard Corenthal cautioned employers not to overreact with discriminatory policies. ‘Employers need to be careful not to view this study as a green light to treat obese or overweight workers differently,’ Corenthal said.”
The Rest of the Story
The rest of the story here is not the study itself, but the response to the findings. And the story is not what researchers recommended, but what they did not recommend. You don’t hear anyone suggesting that to save health care and workers compensation money, employers fire fat people or stop hiring them in the first place. It simply isn’t part of the discourse. The suggestion simply does not arise. No public health groups are suggesting – or would suggest – anything of the sort. The response (and an appropriate one) is to recommend fitness or other programs to help employees control their weight.
Not so with an almost identical problem – off-the-job employee smoking. That problem is also costing employers money in terms of health care costs. However, in contrast to the obesity and overweight problem, many anti-smoking groups are supporting the idea of firing smokers or refusing to hire smokers in order for employers to save money. The World Health Organization has gone so far as to institute its own smoker-free employment policy, refusing to consider applications from smokers for any WHO job.
It is time that anti-smoking groups understand that the precise reasoning they are using to support discrimination against smokers in employment also supports discrimination against obese and overweight people. If we are going to support the idea of excluding smokers from employment to save health care costs for employers, then we must also support the idea of excluding fat people from employment.
Another aspect to the rest of the story is the immediate and vigorous way in which the mere possibility of employers discriminating against overweight people is confronted. The article concludes with a caution to employers not to take these findings as a green light to discriminate against overweight job applicants.
Not so with smoker-free employment policies. You generally are not hearing a vigorous response warning employers not to discriminate against smokers. You certainly will not hear such a warning from any U.S. anti-smoking group.
In fact, I might go so far as to say that my greatest disappointment right now as a tobacco control advocate is the failure of any U.S. anti-smoking group to step up and condemn discrimination against smokers in employment. I don’t think that discrimination is something we should be supporting or even condoning in the tobacco control movement. The fact that we are supporting it is a grave disappointment to me, and it makes me quite ashamed to be a tobacco control practitioner and a part of that movement.
Abby Scott ascott@cmht.com
Cohen, Milstein, Hausfeld & Toll, P.L.L.C.
1100 New York Avenue, N.W., Suite 500
Washington, D.C. 20005
Telephone: 888-240-0775 or 202-408-4600
By Amy Joyce, Washington Post Staff Writer
– A Newsletter Reader
Read
