Remember the carrot and stick approach to employee health care benefits — rewarding good behavior while punishing that which was considered bad?
The Scott’s Miracle-Gro Company went tobacco free back in 2006 and got a lot of press for getting rid of employees who would not give up smoking.
Most companies went the other route — offering incentives to get people to change their behavior — but Scott’s wellness initiative, punitive as it was, got a lot of people talking. Could you punish employees for their unhealthy behavior? Scott’s approach was unique, but it got people thinking.
Five years later, with health care reform and employee wellness now a big workplace issue, the “stick” part of the carrot and stick approach is getting another look.
According to a story this week in the Arizona Republic, health insurance giant Humana says it will “no longer hire workers in Arizona who smoke or use other tobacco products.” The ban starts today (July 1), and to enforce it, “Humana will test new employees for nicotine use during a pre-employment urine drug screen,” according to the newspaper.
Is this smart business and a way to help the workforce get healthier, or simply another meddlesome intrusion onto the private lives of employees? From the newspaper story:
Legal experts say nothing under state law prohibits employers from not hiring smokers.
“Being a smoker is not a category that is protected under the law,” said Lisa Coulter, an attorney with Snell and Wilmer in Phoenix.
Coulter said more and more employers are seeking to regulate employees’ conduct outside the workplace. Some examples include guidelines that prohibit what an employee can post on a social-media websites such as Facebook or Twitter…
Maricopa County employees recently complained about a new health plan that required them to submit saliva samples to test for nicotine. The employees complained that such testing represented an invasion of privacy. County employees who agreed to take the test and did not have tobacco in their system qualify for insurance premiums that are $480 less than what smokers and those who refused to take the test must pay.”
And what about current Humana employees who are smokers or use tobacco products? According to the Republic story,
Humana’s ban for new hires will apply to all tobacco products, including cigarettes, pipes, chewing tobacco and cigars. These workers must agree to abstain from tobacco use while employed by the company. If those new hires start using tobacco, they will be required to self-report their use and enroll in a free tobacco-cessation program that provides counseling and nicotine-replacement products…
Although existing Humana-employed smokers aren’t required to halt tobacco use, they will be encouraged to do so. Those employees will be offered free stop-smoking help, Humana officials said.”
I’m not now and never have been a smoker, but I know from first-hand experience with friends and relatives that kicking the habit is extremely difficult. And as much as I hate second-hand smoke, I’m troubled by how smokers have become the new lepers and forced into ever-more difficult circumstances to simply take a puff.
I was struck by this nearly 20 years ago when I saw smokers at the newspaper I was editing in Great Falls, Montana huddled outside the back door, sometimes in sub-zero temperatures, freezing and shaking as they tried to quickly take a puff.
Yes, it’s tough to quit smoking, and yes, health care costs are a huge concern, but are we going too far by banning smokers from the workplace all together, as Humana is attempting to do in the Grand Canyon State? Does personal freedom matter anymore? (TLNT contributor Fran Melmed has a lively discussion going on the subject that you can take part in here.)
I don’t have the answers to those questions, but I do know one thing: this carrot and stick approach to health care and wellness is not going away anytime soon. How we approach it, and how we help people to help themselves, will define if we truly care about the wellness and dignity of our employees, or, if it is just another workplace initiative designed to simply save a few bucks.
Of course, there’s more than Humana banning smokers in the news this week. Here are some other HR and workplace-related items you may have missed this week. This is TLNT’s weekly round-up of news, trends, and insights from the world of HR and talent management. Yes, I do it so you don’t have to.
http://www.colbertnation.com/the-colbert-report-videos/390869/june-28-2011/the-word—too-big-to-nail