Couric & Co.
November 6, 2007 4:10 PM

Forced To Be Fit

(CBS)
Dean Reynolds is a CBS News correspondent based in Chicago.
Barbara Ludwig leaned over her desk one morning and confided that she could lose a little weight.

How much?, I asked.

"About 30 pounds."

Ludwig knows the eyes of her employees are upon her. She is the Benton Co., Ark. Human Resources Director, and the woman in charge of forcing county workers to get healthy or else. In Benton Co., which is home to Wal-Mart, every out-of-shape worker will have to change or pay more for health insurance.

The county raised its annual deductible from $750 in 2004 to $2,750 in 2005 because, as Ludwig explained, it really had no choice.

"I have to tell you our plan was hemorrhaging. It was about a bottom line issue," she said. "but it was an employee bottom line."

So the county built an incentive into its health care plan enabling county workers to cut their payments to as low as $500 if they were able to pass a yearly test that involved cholesterol readings, blood sugar and other indicators along with blood pressure. Nicotine was banned.

Don Sinquefield was a big college football star -- a very long time ago. Today he has diabetes and is planning to staple part of his stomach because he has ballooned from a playing weight of 185 pounds to about 375 on a good day.

He says he was spurred on by the county's get healthy or else program. He is "absolutely" grateful for the push and is looking forward to his discount.

So too is Kym Jackson, who is literally unrecognizable from the 280 pound behemoth she was just a couple of years ago. Today Kym has lost more than 100 pounds and is continuing to reduce. Her desk drawer, which used to brim with candy and all manner of unhealthy snacks is now practically an advertisement for eating healthy.

But Kym and several other workers we spoke to were initially skeptical, seeing the county plan as intrusive. She's a convert now, but in our trip to Arkansas we saw plenty of others who remain opposed. The smokers, the obese, the unhealthy.

For them, being fat is going to cost them.

Barbara Ludwig is undeterred. She points to the numbers. Before the plan went into effect, the county health care fund was nearly $500,000 in the red. Seventeen months after taking effect, the fund was nearly $1 million in the black.

Put that in your pipe and smoke it.

Or not.
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Add a Comment See all 15 Comments
by ek_1 September 3, 2009 2:28 PM EDT
I think that some of you make very good points. I believe that if people want to change that is it is an incentive for them to change their bad habits. I think that they offer good motivations for them, an example allowing them to work out while at work. But for people that can't lose the weight I think if they are trying that should account for something.
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by hrbc1 November 9, 2007 1:44 PM EST
TrayJ I think you aren''t looking at the whole picture. We were at a point where are employees weren''t getting anything more than cost of living increases because we were putting all the extra funds into the health plan. We are limited by tax dollars and believe me, none of us are making huge salaries working for the County. The decision was to start charging the employees a premium, get rid of the $20 co-pay, or let them have the cash and find their own policy. (many of our employees would be uninsurable) If you call it facism to try and protect the employees access to basic healthcare by holding people accountable for their lifestyle choices than go ahead. An employee came up to me a couple of days ago and complained about how much she paid for her inhalers. The whole time she was talking to me, she was smoking. Should there be some accountability?
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by trayj-2009 November 9, 2007 1:25 PM EST
FASCISM ISN''T IT?
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by trayj-2009 November 9, 2007 1:24 PM EST
FASCISM ISN''T IT?
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by nholt06 November 8, 2007 2:15 AM EST
To JeanSmith4 and others who say that not all smokers get cancer, and not all obese people are diabetic, etc.: Just a reminder, no one is taking away your freedom! You can eat a 20lb cheesecake and smoke like a chimney, you should just have to pay a for your higher risk, just like you do with car or homeowner''s insurance. I bet no one complains that it''s unpatriotic than Flood insurance is more expensive in Orlando than it is in Denver! Nor is it a blunt against my freedom to repeatedly crash my Corvette if I have to pay more to insure it than you do to drive safely in your Ford Focus. Frankly, wouldn''t it be un-American if we both had to pay the same amount?
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by hrbc1 November 7, 2007 8:47 PM EST
whatagrl46 wrote "People need motivation, and education. Ideally, motivation should be intrinsic, rather than extrinsic; based on personal desire rather than threats from employers or spouses." I couldn''t agree with you more but beyond the title of the series, where do you think we forced employees to do anything? In life, there will always be someone who views incentives as punishment. It would all depend on what side of the reward you are on. We truly implemented this program as an incentive to get healthier. All motivation to improve ultimately is intrinsic but we have added a "carrot" to encourage people to seek healthier lifestyles.
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by motivated100 November 7, 2007 8:41 PM EST
We should not "force" people to do anything. We should "help" people by providing information such as making it mandatory for restaraunts to include calorie counts on their menus.
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by whatagrl43 November 7, 2007 7:06 PM EST
When we force people to be fit, we promote the notion that getting fit is a static, "thing to do", only to be followed by resuming a prior lifestyle of bad habits. Putting a ban on fast food restaurants does not teach a person the lifestyle skills needed to aquire and maintain a high level of fitness. People need motivation, and education. Ideally, motivation should be intrinsic, rather than extrinsic; based on personal desire rather than threats from employers or spouses.
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by hrbc1 November 7, 2007 1:00 PM EST
Yesterday, an employee came up to me and complained about how much she has to pay for her inhalers under our new plan. She was smoking the whole time she was speaking to me. Where does personal accountability come into play? Under the Benton County plan, anyone with a genetic issue that causes them to not earn a credit can appeal that credit. I can tell you that the majority of people that appeal receive the credit.
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by jeansmith November 7, 2007 12:08 PM EST
I can not believe that the "Land of the Free" has taken so many freedoms away from us. Whatever happened to being tolerant of people and their differences. Many overweight people do not engage in unhealthy eating habits. They have a medical reason why they are overweight.
Blood pressure and high cholesterol may also have hereditary factors. Who decides if someone has OK reasons for this or not? Who has set themselves up to judge others?
I think if someone wants me to quit smoking, then by rights I can tell them there will be no more driving cars. They are polluting my "healthy air". Likewise, they will no longer be able to manufacture and produce because the smoke billowing out of the factory is harming my health.
I understand that I have a "higher risk" than a non-smoker of having cancer. This is not a GUARANTEE that I will get cancer, just that I am more likely to get it. We have all heard of people that smoke like a chimney well into their nineties with no problems other than old age, just as the person who never smoked a day in their life that gets cancer. Lifestyle is not a guarantee of health, only a probability. (Wasn''t there a marathon runner who dropped dead during the first 5 miles of the race)
What I''m saying is that if I get in an accident on the way home from work today, my life style or lack there of is of no concern to anybody but myself, and the hypocritical people who want to inflict their interests and values on me will have made no difference in the end result.
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by dwalker685 November 7, 2007 1:13 AM EST
Employers have had to endure double-digit insurance increases for close to a decade, and because companies continue to try and maintain their cost-sharing percentage, these increases are not passed on to their employees. Instead, companies will increase co-pays and deductibles as a way reduce healthcare costs that have continued to skyrocket. The recent advent of HSA%u2019s and HRA%u2019s are other ways companies have tried to reduce healthcare costs%u2014but the bleeding continues. Many companies%u2014especially small ones%u2014simply cannot keep up with the increases and stop offering insurance to their employees. Recent legislation allows employers to offer incentives (up to a certain percentage) to employees who participate in healthy lifestyles; one of the keys to the legislation is that such incentives are voluntary. Additionally, they are required to offer programs to help employees take advantage of these incentives. A local company has made some of these changes with the result that they are saving%u2014yes, I%u2019ve seen the data%u2014thousands per employee annually. Employees are happier and healthier, and absenteeism, turnover, and work-related injuries are down. By the way, the company%u2019s programs have literally saved two their employees%u2019 lives by catching cancer (one) and diabetes (the other) early enough to be treated successfully. See? Win-win.
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by simplyslim-2009 November 7, 2007 1:04 AM EST
Let''s see, America already has a high number of people without health coverage and you think this will improve it. I dont see that happening, I just see more people turning to DSHS, then pay some astonomical amount of money so that thay have insuance. Next thing you know they will be handing out weekly diets to be followed, or people will what, take cuts in pay! All I had to see was "home of Walmart" to know this article was a joke.
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by skinnyminny2 November 6, 2007 10:16 PM EST
I wonder what they''d do with somone like me (or if they''d even notice) I''m about 20 lb underweight and have been struggling with anorexia for some time. I bet they wouldn''t even catch it because they''re so concerned about the fat people. I wonder if they''ve considered those who might go the opposite extreme and are also health risks.
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by skinnyminny2 November 6, 2007 10:15 PM EST
I wonder what they''d do with somone like me (or if they''d even notice) I''m about 20 lb underweight and have been struggling with anorexia for some time. I bet they wouldn''t even catch it because they''re so concerned about the fat people. I wonder if they''ve considered those who might go the opposite extreme and are also health risks.
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by nholt06 November 6, 2007 10:08 PM EST
Watching your piece on Forced to be Fit, I was shocked that you pitched it that way. If you compare health insurance to car insurance, then I''m FORCED to drive carefully, or I''ll pay more. I can''t speed! I can''t crash into things! No one makes that argument. But if you increase your company''s risk of payment by choosing a lifestyle of sickness (smoking, obesity, etc.), you are being "Punished" (your word, not mine) with higher cost? That kind of thinking exacerbates the health care crisis. Why not balance your story? Those who do what they can to reduce health care costs (ie eat better, exercise) are rewarded! Today, THEY are the ones being punished! Everyone''s premiums/contributions increase to cover the obese and the smokers. Let''s reward those who are doing something about the problem! I applaud companies and governments that think this way.
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