As more and more companies are refusing to hire smokers - both to save over $10,000/yr per employee, and because employing smokers sends the wrong message - the major argument in opposition doesn’t really attack the practice itself, but bemoans that it will inevitably spread to the obese.
But public interest law professor John Banzhaf, who helped start and encourage the movement, and helped defend it in court, suggests that there are many reasons why smoking Virginia is very different from obesity.
First, obesity’s official classification by the government as a “disease” (for tax and Medicare purposes), and as a “health status” (for health insurance purposes), might make it legally difficult, whereas smoking, classified only as a “behavior,” enjoys no such legal protection.
Similarly, obese workers are also sometimes subject to protection under the Americans With Disabilities Act [ADA], whereas smokers enjoy no such legal protection.
That’s why smokers can be charged more for health insurance even in the absence of a qualified “wellness” program, whereas the obese cannot – and probably why a majority of Americans favor charging smokers more for health insurance, but oppose a similar surcharge on the obese.
Since about one-third of adult Americans are obese, a policy of not hiring them could severely limit the number of qualified applicants. But since only about 13% of adults smoke daily, and smokers are increasingly concentrated in groups with the least education, concerns over loss of qualified workers are fewer.
Because many people believe that obesity is often caused by heredity, genes, childhood eating, and other factors over which employees have little if any control, a “no-obese” hiring policy might seem unfair. On the other hand, since most people see buying and using cigarettes as a habit or a choice, the public seems to support it. Although there is evidence that for many people smoking involves addiction, the addiction is to the drug nicotine, not to the act of smoking itself, so those who want to quit can use gum,. patches, inhalers, or sprays to ingest the nicotine to which they may be addicted.
Those who care enough about not being able to find or hold a job can quit smoking, a process (though difficult) which usually occurs immediately or while undergoing a brief smoking cessation program. In contrast, few can stop being obese in a brief period of time, and any attempt to do so quickly (e.g., because of job concerns) is likely to have serious adverse health consequences, and raise medical care costs rather than lower them.
Banzhaf notes that life insurance companies – and a growing number of health insurance companies – quote different rates for smokers, whereas different higher rates for obese policy holders are very rare if not nonexistent. This suggest that insurance companies, like many employers, see a very big difference between smoking and obesity, and that any policy aimed at smoking need not also be applied to obesity.
Although there are laws in some states purporting to prohibit policies against hiring smokers, both Action on Smoking and Health (Banzhaf’s group) and the American Medical Association have pointed out that they are rarely enforced and easily avoided: e.g. by banning workers smelling of tobacco smoke.
In any event, there is also very strong anecdotal evidence that many companies simply have an informal unannounced policy of declining to hire smokers, or giving very strong preference to nonsmokers
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