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The Fat Patrol: A Weighty Problem

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General fitness, health and nutrition
Published
5 November 2007
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15 November 2007
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Daniel
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  1. http://www.federalnewsradio.com/index.php?sid=1283658&nid=22

    November 1, 2007 - 6:45am

    A growing number of American companies, worried about the growing
    waistlines of their employees and the impact on health care costs, are
    considering either a carrot or stick approach to slim their workforce.
    Earlier this year an Indiana hospital chain announced plans to dock workers
    paychecks if they continued to smoke and/or didn't adopt healthy lifestyles
    that would reduce their blood pressure and/or cut their cholesterol levels.

    The proposal was to fine workers $5 per paycheck if they smoked and to trim
    $10 from each paycheck if they were overweight and didn't take steps to
    slim down. Naturally it caused a firestorm of complaints.

    A larger firm decided on a positive approach. It promised extra dollars to
    employees whose children got into physical fitness programs. Many companies
    (including Uncle Sam) now help employees with the cost of quit-smoking
    programs.

    Some years back, the director of an important federal agency (its initials
    rhyme with O-P-M) got into a heap of trouble, and almost lost her job, for
    encouraging staffers to lose weight. Her motives, aides said, were pure.
    They said she was shocked and worried by the physical stature of some of
    her staffers.

    Health insurance premiums everywhere are going up. Many private firms have
    either cut back or dropped health insurance programs because of their high
    costs. Premiums in the nation's largest group plan, the Federal Employee
    Health Benefits Program, are going up next year. But not nearly as fast,
    thanks to the use of FEHBP reserves, as health plan premiums in the private
    sector.

    Many scientists link smoking and obesity with heart disease, cancer, and
    diabetes. Some say the latter disease has reached near epidemic
    proportions. Or soon will.

    So what, if anything, should the government do? It has one of the nation's
    largest workforces and each employee (and retiree) is eligible for lifetime
    health care coverage. Because it's a group program, people in the same
    plans pay the same premiums whether they are 25 year old marathoners or 100
    year old retirees with all the aches, pains and problems associated with
    old age.

    A married couple without children pays the same for family plan coverage as
    a couple with 10 kids. Workers with healthy lifestyles (and good genes) pay
    the same premiums as very unhealthy workers and retirees in their same
    plans.

    So what role, if any, does the employer, especially yours, have in policing
    the health of workers? Should there be a carrot-like incentive (maybe extra
    pay or bonuses) for those with healthy lifestyles? Or should Uncle Sam
    wield the stick and whack the wallets and purses of those without healthy
    lifestyles.

    The issue raises a lot of questions and, for many, sets off a lot of alarm
    bells. The only sure winners so far in the private sector are lawyers hired
    to defend or attack enforced lifestyle rules.

  2. Daniel said:

    Earlier this year an Indiana hospital chain announced plans to dock workers
    paychecks if they continued to smoke and/or didn't adopt healthy lifestyles
    that would reduce their blood pressure and/or cut their cholesterol levels.

    Being only a proposal, nothing can yet be done about this. However, if
    they do go through with it, I smell federal law suit. Be it in their
    right/authority to do or not, the PR backlash would make the hospital
    settle out of court for an insane amount of non-disclosed money.

    Quoted message said:

    A larger firm decided on a positive approach. It promised extra dollars to
    employees whose children got into physical fitness programs. Many companies
    (including Uncle Sam) now help employees with the cost of quit-smoking
    programs.

    But do they offer financial assistance for weight loss programs?
    Discrimination occures to more then just the "protected" classes in
    America. Color, age, sexual orientation, gender, and religion are what
    the protections are based upon. It would seem that companies see this,
    and assume that discrimination based on other criteria is perfectly ok.

    Quoted message said:

    Some years back, the director of an important federal agency (its initials
    rhyme with O-P-M) got into a heap of trouble, and almost lost her job, for
    encouraging staffers to lose weight. Her motives, aides said, were pure.
    They said she was shocked and worried by the physical stature of some of
    her staffers.

    She should have lost her job. Her criteria for the people who work for
    her should be job abilities. If you work in a filing room, you need to be
    able to lift 50 lbs, but no other physical attributes should be of concern
    to her.

    Quoted message said:

    Health insurance premiums everywhere are going up. Many private firms have
    either cut back or dropped health insurance programs because of their high
    costs.

    And that's why we need a european style universal coverage health care
    system. The answer is not to discriminate, it is not to force people to
    change by holding their pay checks hostage.

    Quoted message said:

    Many scientists link smoking and obesity with heart disease, cancer, and
    diabetes. Some say the latter disease has reached near epidemic
    proportions. Or soon will.

    Interestingly enough, I remember reading some place that the average life
    span of a doctor is 10 years LESS then an average person. Nutritionalists
    argue that this is because doctors go to the doctor too often, and the
    over abundance to RX medications ruin their internal systems.

    Quoted message said:

    The issue raises a lot of questions and, for many, sets off a lot of alarm
    bells. The only sure winners so far in the private sector are lawyers hired
    to defend or attack enforced lifestyle rules.

    Thus making the lawyer's wallets fatter then anyone else. Good going size
    nazi bigots.

  3. Daniel said:

    Earlier this year an Indiana hospital chain announced plans to dock workers
    paychecks if they continued to smoke and/or didn't adopt healthy lifestyles
    that would reduce their blood pressure and/or cut their cholesterol levels.

    Being only a proposal, nothing can yet be done about this. However, if
    they do go through with it, I smell federal law suit. Be it in their
    right/authority to do or not, the PR backlash would make the hospital
    settle out of court for an insane amount of non-disclosed money.

    Quoted message said:

    A larger firm decided on a positive approach. It promised extra dollars to
    employees whose children got into physical fitness programs. Many companies
    (including Uncle Sam) now help employees with the cost of quit-smoking
    programs.

    But do they offer financial assistance for weight loss programs?
    Discrimination occures to more then just the "protected" classes in
    America. Color, age, sexual orientation, gender, and religion are what
    the protections are based upon. It would seem that companies see this,
    and assume that discrimination based on other criteria is perfectly ok.

    Quoted message said:

    Some years back, the director of an important federal agency (its initials
    rhyme with O-P-M) got into a heap of trouble, and almost lost her job, for
    encouraging staffers to lose weight. Her motives, aides said, were pure.
    They said she was shocked and worried by the physical stature of some of
    her staffers.

    She should have lost her job. Her criteria for the people who work for
    her should be job abilities. If you work in a filing room, you need to be
    able to lift 50 lbs, but no other physical attributes should be of concern
    to her.

    Quoted message said:

    Health insurance premiums everywhere are going up. Many private firms have
    either cut back or dropped health insurance programs because of their high
    costs.

    And that's why we need a european style universal coverage health care
    system. The answer is not to discriminate, it is not to force people to
    change by holding their pay checks hostage.

    Quoted message said:

    Many scientists link smoking and obesity with heart disease, cancer, and
    diabetes. Some say the latter disease has reached near epidemic
    proportions. Or soon will.

    Interestingly enough, I remember reading some place that the average life
    span of a doctor is 10 years LESS then an average person. Nutritionalists
    argue that this is because doctors go to the doctor too often, and the
    over abundance to RX medications ruin their internal systems.

    Quoted message said:

    The issue raises a lot of questions and, for many, sets off a lot of alarm
    bells. The only sure winners so far in the private sector are lawyers hired
    to defend or attack enforced lifestyle rules.

    Thus making the lawyer's wallets fatter then anyone else. Good going size
    nazi bigots.

  4. Daniel said:

    Earlier this year an Indiana hospital chain announced plans to dock workers
    paychecks if they continued to smoke and/or didn't adopt healthy lifestyles
    that would reduce their blood pressure and/or cut their cholesterol levels.

    Being only a proposal, nothing can yet be done about this. However, if
    they do go through with it, I smell federal law suit. Be it in their
    right/authority to do or not, the PR backlash would make the hospital
    settle out of court for an insane amount of non-disclosed money.

    Quoted message said:

    A larger firm decided on a positive approach. It promised extra dollars to
    employees whose children got into physical fitness programs. Many companies
    (including Uncle Sam) now help employees with the cost of quit-smoking
    programs.

    But do they offer financial assistance for weight loss programs?
    Discrimination occures to more then just the "protected" classes in
    America. Color, age, sexual orientation, gender, and religion are what
    the protections are based upon. It would seem that companies see this,
    and assume that discrimination based on other criteria is perfectly ok.

    Quoted message said:

    Some years back, the director of an important federal agency (its initials
    rhyme with O-P-M) got into a heap of trouble, and almost lost her job, for
    encouraging staffers to lose weight. Her motives, aides said, were pure.
    They said she was shocked and worried by the physical stature of some of
    her staffers.

    She should have lost her job. Her criteria for the people who work for
    her should be job abilities. If you work in a filing room, you need to be
    able to lift 50 lbs, but no other physical attributes should be of concern
    to her.

    Quoted message said:

    Health insurance premiums everywhere are going up. Many private firms have
    either cut back or dropped health insurance programs because of their high
    costs.

    And that's why we need a european style universal coverage health care
    system. The answer is not to discriminate, it is not to force people to
    change by holding their pay checks hostage.

    Quoted message said:

    Many scientists link smoking and obesity with heart disease, cancer, and
    diabetes. Some say the latter disease has reached near epidemic
    proportions. Or soon will.

    Interestingly enough, I remember reading some place that the average life
    span of a doctor is 10 years LESS then an average person. Nutritionalists
    argue that this is because doctors go to the doctor too often, and the
    over abundance to RX medications ruin their internal systems.

    Quoted message said:

    The issue raises a lot of questions and, for many, sets off a lot of alarm
    bells. The only sure winners so far in the private sector are lawyers hired
    to defend or attack enforced lifestyle rules.

    Thus making the lawyer's wallets fatter then anyone else. Good going size
    nazi bigots.

  5. Daniel said:

    Earlier this year an Indiana hospital chain announced plans to dock workers
    paychecks if they continued to smoke and/or didn't adopt healthy lifestyles
    that would reduce their blood pressure and/or cut their cholesterol levels.

    Being only a proposal, nothing can yet be done about this. However, if
    they do go through with it, I smell federal law suit. Be it in their
    right/authority to do or not, the PR backlash would make the hospital
    settle out of court for an insane amount of non-disclosed money.

    Quoted message said:

    A larger firm decided on a positive approach. It promised extra dollars to
    employees whose children got into physical fitness programs. Many companies
    (including Uncle Sam) now help employees with the cost of quit-smoking
    programs.

    But do they offer financial assistance for weight loss programs?
    Discrimination occures to more then just the "protected" classes in
    America. Color, age, sexual orientation, gender, and religion are what
    the protections are based upon. It would seem that companies see this,
    and assume that discrimination based on other criteria is perfectly ok.

    Quoted message said:

    Some years back, the director of an important federal agency (its initials
    rhyme with O-P-M) got into a heap of trouble, and almost lost her job, for
    encouraging staffers to lose weight. Her motives, aides said, were pure.
    They said she was shocked and worried by the physical stature of some of
    her staffers.

    She should have lost her job. Her criteria for the people who work for
    her should be job abilities. If you work in a filing room, you need to be
    able to lift 50 lbs, but no other physical attributes should be of concern
    to her.

    Quoted message said:

    Health insurance premiums everywhere are going up. Many private firms have
    either cut back or dropped health insurance programs because of their high
    costs.

    And that's why we need a european style universal coverage health care
    system. The answer is not to discriminate, it is not to force people to
    change by holding their pay checks hostage.

    Quoted message said:

    Many scientists link smoking and obesity with heart disease, cancer, and
    diabetes. Some say the latter disease has reached near epidemic
    proportions. Or soon will.

    Interestingly enough, I remember reading some place that the average life
    span of a doctor is 10 years LESS then an average person. Nutritionalists
    argue that this is because doctors go to the doctor too often, and the
    over abundance to RX medications ruin their internal systems.

    Quoted message said:

    The issue raises a lot of questions and, for many, sets off a lot of alarm
    bells. The only sure winners so far in the private sector are lawyers hired
    to defend or attack enforced lifestyle rules.

    Thus making the lawyer's wallets fatter then anyone else. Good going size
    nazi bigots.

  6. On Nov 5, 9:04 am, The Master <[email hidden]>

    Quoted message said:
    Daniel said:

    Earlier this year an Indiana hospital chain announced plans to dock workers
    paychecks if they continued to smoke and/or didn't adopt healthy lifestyles
    that would reduce their blood pressure and/or cut their cholesterol levels.

    Being only a proposal, nothing can yet be done about this. However, if
    they do go through with it, I smell federal law suit. Be it in their
    right/authority to do or not, the PR backlash would make the hospital
    settle out of court for an insane amount of non-disclosed money.

    Forget lawsuit. It's a bad incentive. People respond more positively
    to 110% than to 90% as a potential salary.

    Quoted message said:
    Quoted message said:

    A larger firm decided on a positive approach. It promised extra dollars to
    employees whose children got into physical fitness programs. Many companies
    (including Uncle Sam) now help employees with the cost of quit-smoking
    programs.

    But do they offer financial assistance for weight loss programs?
    Discrimination occures to more then just the "protected" classes in
    America. Color, age, sexual orientation, gender, and religion are what
    the protections are based upon. It would seem that companies see this,
    and assume that discrimination based on other criteria is perfectly ok.

    If you offer a bonus to employees who lose weight or quit smoking,
    or improve their health in other manners, this isn't discrimination
    against
    the overweight, smokers or other unhealthy people. It's discrimination
    against the people who are already healthy non-smokers. However, a
    carefully designed incentive system, offering bonus pay for
    maintenance
    of health in addition to improvements might prove lawsuit proof. If
    you
    are overweight and smoke, you can earn the bonus or you can continue
    in your unhealthy ways and cost the company more money in lost
    productivity (have cited the study in Journal of Occupational and
    Environmental Medicine demonstraing lower productivity from heavier
    employees) and higher insurance premiums (those insurance companies
    know a thing or a thousand about risk profiling I imagine, since it's
    their
    whole business model).

    Quoted message said:
    Quoted message said:

    Some years back, the director of an important federal agency (its initials
    rhyme with O-P-M) got into a heap of trouble, and almost lost her job, for
    encouraging staffers to lose weight. Her motives, aides said, were pure.
    They said she was shocked and worried by the physical stature of some of
    her staffers.

    She should have lost her job. Her criteria for the people who work for
    her should be job abilities. If you work in a filing room, you need to be
    able to lift 50 lbs, but no other physical attributes should be of concern
    to her.

    Unless, of course, you could demonstrate a causitive link between
    excess
    weight and productivity. At that point it's not a capability issue,
    but a
    performance quality issue, in the aggregate. Now, if you're
    overweight, you
    probably don't want to hear it and would cry discrimination, but if
    you're
    an employer and you want to get the most productivity out of your wage
    investments, well, it's another story entirely.

    Quoted message said:
    Quoted message said:

    Health insurance premiums everywhere are going up. Many private firms have
    either cut back or dropped health insurance programs because of their high
    costs.

    And that's why we need a european style universal coverage health care
    system. The answer is not to discriminate, it is not to force people to
    change by holding their pay checks hostage.

    How about incent people to change with extra money. With the current
    level
    of obesity and smoking related illnesses (abdominal obesity is
    strongly linked
    to cancer), european style coverage is probably not feasbile. And I'm
    like
    the idea of socialized medicine. Or at least expansion of the two-tier
    system.

    Quoted message said:
    Quoted message said:

    Many scientists link smoking and obesity with heart disease, cancer, and
    diabetes. Some say the latter disease has reached near epidemic
    proportions. Or soon will.

    Interestingly enough, I remember reading some place that the average life
    span of a doctor is 10 years LESS then an average person. Nutritionalists
    argue that this is because doctors go to the doctor too often, and the
    over abundance to RX medications ruin their internal systems.

    It might be a stress issue. It might be a long hours issue. It might
    be
    exposure to more diseases and causes of death through the nature of
    their work. I dunno if Mike Rowe has covered it yet, but doctoring can
    be
    a Dirty Job.

    Quoted message said:
    Quoted message said:

    The issue raises a lot of questions and, for many, sets off a lot of alarm
    bells. The only sure winners so far in the private sector are lawyers hired
    to defend or attack enforced lifestyle rules.

    Thus making the lawyer's wallets fatter then anyone else. Good going size
    nazi bigots.

    Hrm, god forbid anyone try to make a fat person richer and thinner. I
    suspect
    that the fat acceptors will be the biggest obstacle (visual pun
    unintentional, but
    valid) to the progress of incentive based solutions.

    Last thing: I agree with you, taking pay away is a poor answer. Base
    pay is
    viewed as entitlement. Bonuses, however, are good incentives, as they
    are a
    reward for doing more than the base requirement for base pay. That's
    how we
    learned it in my compensation and incentives class (Washington
    University
    in St. Louis, Dr. Barton Hamilton teaching, Spring 2005).

  7. On Nov 5, 9:04 am, The Master <[email hidden]>

    Quoted message said:
    Daniel said:

    Earlier this year an Indiana hospital chain announced plans to dock workers
    paychecks if they continued to smoke and/or didn't adopt healthy lifestyles
    that would reduce their blood pressure and/or cut their cholesterol levels.

    Being only a proposal, nothing can yet be done about this. However, if
    they do go through with it, I smell federal law suit. Be it in their
    right/authority to do or not, the PR backlash would make the hospital
    settle out of court for an insane amount of non-disclosed money.

    Forget lawsuit. It's a bad incentive. People respond more positively
    to 110% than to 90% as a potential salary.

    Quoted message said:
    Quoted message said:

    A larger firm decided on a positive approach. It promised extra dollars to
    employees whose children got into physical fitness programs. Many companies
    (including Uncle Sam) now help employees with the cost of quit-smoking
    programs.

    But do they offer financial assistance for weight loss programs?
    Discrimination occures to more then just the "protected" classes in
    America. Color, age, sexual orientation, gender, and religion are what
    the protections are based upon. It would seem that companies see this,
    and assume that discrimination based on other criteria is perfectly ok.

    If you offer a bonus to employees who lose weight or quit smoking,
    or improve their health in other manners, this isn't discrimination
    against
    the overweight, smokers or other unhealthy people. It's discrimination
    against the people who are already healthy non-smokers. However, a
    carefully designed incentive system, offering bonus pay for
    maintenance
    of health in addition to improvements might prove lawsuit proof. If
    you
    are overweight and smoke, you can earn the bonus or you can continue
    in your unhealthy ways and cost the company more money in lost
    productivity (have cited the study in Journal of Occupational and
    Environmental Medicine demonstraing lower productivity from heavier
    employees) and higher insurance premiums (those insurance companies
    know a thing or a thousand about risk profiling I imagine, since it's
    their
    whole business model).

    Quoted message said:
    Quoted message said:

    Some years back, the director of an important federal agency (its initials
    rhyme with O-P-M) got into a heap of trouble, and almost lost her job, for
    encouraging staffers to lose weight. Her motives, aides said, were pure.
    They said she was shocked and worried by the physical stature of some of
    her staffers.

    She should have lost her job. Her criteria for the people who work for
    her should be job abilities. If you work in a filing room, you need to be
    able to lift 50 lbs, but no other physical attributes should be of concern
    to her.

    Unless, of course, you could demonstrate a causitive link between
    excess
    weight and productivity. At that point it's not a capability issue,
    but a
    performance quality issue, in the aggregate. Now, if you're
    overweight, you
    probably don't want to hear it and would cry discrimination, but if
    you're
    an employer and you want to get the most productivity out of your wage
    investments, well, it's another story entirely.

    Quoted message said:
    Quoted message said:

    Health insurance premiums everywhere are going up. Many private firms have
    either cut back or dropped health insurance programs because of their high
    costs.

    And that's why we need a european style universal coverage health care
    system. The answer is not to discriminate, it is not to force people to
    change by holding their pay checks hostage.

    How about incent people to change with extra money. With the current
    level
    of obesity and smoking related illnesses (abdominal obesity is
    strongly linked
    to cancer), european style coverage is probably not feasbile. And I'm
    like
    the idea of socialized medicine. Or at least expansion of the two-tier
    system.

    Quoted message said:
    Quoted message said:

    Many scientists link smoking and obesity with heart disease, cancer, and
    diabetes. Some say the latter disease has reached near epidemic
    proportions. Or soon will.

    Interestingly enough, I remember reading some place that the average life
    span of a doctor is 10 years LESS then an average person. Nutritionalists
    argue that this is because doctors go to the doctor too often, and the
    over abundance to RX medications ruin their internal systems.

    It might be a stress issue. It might be a long hours issue. It might
    be
    exposure to more diseases and causes of death through the nature of
    their work. I dunno if Mike Rowe has covered it yet, but doctoring can
    be
    a Dirty Job.

    Quoted message said:
    Quoted message said:

    The issue raises a lot of questions and, for many, sets off a lot of alarm
    bells. The only sure winners so far in the private sector are lawyers hired
    to defend or attack enforced lifestyle rules.

    Thus making the lawyer's wallets fatter then anyone else. Good going size
    nazi bigots.

    Hrm, god forbid anyone try to make a fat person richer and thinner. I
    suspect
    that the fat acceptors will be the biggest obstacle (visual pun
    unintentional, but
    valid) to the progress of incentive based solutions.

    Last thing: I agree with you, taking pay away is a poor answer. Base
    pay is
    viewed as entitlement. Bonuses, however, are good incentives, as they
    are a
    reward for doing more than the base requirement for base pay. That's
    how we
    learned it in my compensation and incentives class (Washington
    University
    in St. Louis, Dr. Barton Hamilton teaching, Spring 2005).

  8. On Nov 5, 9:04 am, The Master <[email hidden]>

    Quoted message said:
    Daniel said:

    Earlier this year an Indiana hospital chain announced plans to dock workers
    paychecks if they continued to smoke and/or didn't adopt healthy lifestyles
    that would reduce their blood pressure and/or cut their cholesterol levels.

    Being only a proposal, nothing can yet be done about this. However, if
    they do go through with it, I smell federal law suit. Be it in their
    right/authority to do or not, the PR backlash would make the hospital
    settle out of court for an insane amount of non-disclosed money.

    Forget lawsuit. It's a bad incentive. People respond more positively
    to 110% than to 90% as a potential salary.

    Quoted message said:
    Quoted message said:

    A larger firm decided on a positive approach. It promised extra dollars to
    employees whose children got into physical fitness programs. Many companies
    (including Uncle Sam) now help employees with the cost of quit-smoking
    programs.

    But do they offer financial assistance for weight loss programs?
    Discrimination occures to more then just the "protected" classes in
    America. Color, age, sexual orientation, gender, and religion are what
    the protections are based upon. It would seem that companies see this,
    and assume that discrimination based on other criteria is perfectly ok.

    If you offer a bonus to employees who lose weight or quit smoking,
    or improve their health in other manners, this isn't discrimination
    against
    the overweight, smokers or other unhealthy people. It's discrimination
    against the people who are already healthy non-smokers. However, a
    carefully designed incentive system, offering bonus pay for
    maintenance
    of health in addition to improvements might prove lawsuit proof. If
    you
    are overweight and smoke, you can earn the bonus or you can continue
    in your unhealthy ways and cost the company more money in lost
    productivity (have cited the study in Journal of Occupational and
    Environmental Medicine demonstraing lower productivity from heavier
    employees) and higher insurance premiums (those insurance companies
    know a thing or a thousand about risk profiling I imagine, since it's
    their
    whole business model).

    Quoted message said:
    Quoted message said:

    Some years back, the director of an important federal agency (its initials
    rhyme with O-P-M) got into a heap of trouble, and almost lost her job, for
    encouraging staffers to lose weight. Her motives, aides said, were pure.
    They said she was shocked and worried by the physical stature of some of
    her staffers.

    She should have lost her job. Her criteria for the people who work for
    her should be job abilities. If you work in a filing room, you need to be
    able to lift 50 lbs, but no other physical attributes should be of concern
    to her.

    Unless, of course, you could demonstrate a causitive link between
    excess
    weight and productivity. At that point it's not a capability issue,
    but a
    performance quality issue, in the aggregate. Now, if you're
    overweight, you
    probably don't want to hear it and would cry discrimination, but if
    you're
    an employer and you want to get the most productivity out of your wage
    investments, well, it's another story entirely.

    Quoted message said:
    Quoted message said:

    Health insurance premiums everywhere are going up. Many private firms have
    either cut back or dropped health insurance programs because of their high
    costs.

    And that's why we need a european style universal coverage health care
    system. The answer is not to discriminate, it is not to force people to
    change by holding their pay checks hostage.

    How about incent people to change with extra money. With the current
    level
    of obesity and smoking related illnesses (abdominal obesity is
    strongly linked
    to cancer), european style coverage is probably not feasbile. And I'm
    like
    the idea of socialized medicine. Or at least expansion of the two-tier
    system.

    Quoted message said:
    Quoted message said:

    Many scientists link smoking and obesity with heart disease, cancer, and
    diabetes. Some say the latter disease has reached near epidemic
    proportions. Or soon will.

    Interestingly enough, I remember reading some place that the average life
    span of a doctor is 10 years LESS then an average person. Nutritionalists
    argue that this is because doctors go to the doctor too often, and the
    over abundance to RX medications ruin their internal systems.

    It might be a stress issue. It might be a long hours issue. It might
    be
    exposure to more diseases and causes of death through the nature of
    their work. I dunno if Mike Rowe has covered it yet, but doctoring can
    be
    a Dirty Job.

    Quoted message said:
    Quoted message said:

    The issue raises a lot of questions and, for many, sets off a lot of alarm
    bells. The only sure winners so far in the private sector are lawyers hired
    to defend or attack enforced lifestyle rules.

    Thus making the lawyer's wallets fatter then anyone else. Good going size
    nazi bigots.

    Hrm, god forbid anyone try to make a fat person richer and thinner. I
    suspect
    that the fat acceptors will be the biggest obstacle (visual pun
    unintentional, but
    valid) to the progress of incentive based solutions.

    Last thing: I agree with you, taking pay away is a poor answer. Base
    pay is
    viewed as entitlement. Bonuses, however, are good incentives, as they
    are a
    reward for doing more than the base requirement for base pay. That's
    how we
    learned it in my compensation and incentives class (Washington
    University
    in St. Louis, Dr. Barton Hamilton teaching, Spring 2005).

  9. On Nov 5, 9:04 am, The Master <[email hidden]>

    Quoted message said:
    Daniel said:

    Earlier this year an Indiana hospital chain announced plans to dock workers
    paychecks if they continued to smoke and/or didn't adopt healthy lifestyles
    that would reduce their blood pressure and/or cut their cholesterol levels.

    Being only a proposal, nothing can yet be done about this. However, if
    they do go through with it, I smell federal law suit. Be it in their
    right/authority to do or not, the PR backlash would make the hospital
    settle out of court for an insane amount of non-disclosed money.

    Forget lawsuit. It's a bad incentive. People respond more positively
    to 110% than to 90% as a potential salary.

    Quoted message said:
    Quoted message said:

    A larger firm decided on a positive approach. It promised extra dollars to
    employees whose children got into physical fitness programs. Many companies
    (including Uncle Sam) now help employees with the cost of quit-smoking
    programs.

    But do they offer financial assistance for weight loss programs?
    Discrimination occures to more then just the "protected" classes in
    America. Color, age, sexual orientation, gender, and religion are what
    the protections are based upon. It would seem that companies see this,
    and assume that discrimination based on other criteria is perfectly ok.

    If you offer a bonus to employees who lose weight or quit smoking,
    or improve their health in other manners, this isn't discrimination
    against
    the overweight, smokers or other unhealthy people. It's discrimination
    against the people who are already healthy non-smokers. However, a
    carefully designed incentive system, offering bonus pay for
    maintenance
    of health in addition to improvements might prove lawsuit proof. If
    you
    are overweight and smoke, you can earn the bonus or you can continue
    in your unhealthy ways and cost the company more money in lost
    productivity (have cited the study in Journal of Occupational and
    Environmental Medicine demonstraing lower productivity from heavier
    employees) and higher insurance premiums (those insurance companies
    know a thing or a thousand about risk profiling I imagine, since it's
    their
    whole business model).

    Quoted message said:
    Quoted message said:

    Some years back, the director of an important federal agency (its initials
    rhyme with O-P-M) got into a heap of trouble, and almost lost her job, for
    encouraging staffers to lose weight. Her motives, aides said, were pure.
    They said she was shocked and worried by the physical stature of some of
    her staffers.

    She should have lost her job. Her criteria for the people who work for
    her should be job abilities. If you work in a filing room, you need to be
    able to lift 50 lbs, but no other physical attributes should be of concern
    to her.

    Unless, of course, you could demonstrate a causitive link between
    excess
    weight and productivity. At that point it's not a capability issue,
    but a
    performance quality issue, in the aggregate. Now, if you're
    overweight, you
    probably don't want to hear it and would cry discrimination, but if
    you're
    an employer and you want to get the most productivity out of your wage
    investments, well, it's another story entirely.

    Quoted message said:
    Quoted message said:

    Health insurance premiums everywhere are going up. Many private firms have
    either cut back or dropped health insurance programs because of their high
    costs.

    And that's why we need a european style universal coverage health care
    system. The answer is not to discriminate, it is not to force people to
    change by holding their pay checks hostage.

    How about incent people to change with extra money. With the current
    level
    of obesity and smoking related illnesses (abdominal obesity is
    strongly linked
    to cancer), european style coverage is probably not feasbile. And I'm
    like
    the idea of socialized medicine. Or at least expansion of the two-tier
    system.

    Quoted message said:
    Quoted message said:

    Many scientists link smoking and obesity with heart disease, cancer, and
    diabetes. Some say the latter disease has reached near epidemic
    proportions. Or soon will.

    Interestingly enough, I remember reading some place that the average life
    span of a doctor is 10 years LESS then an average person. Nutritionalists
    argue that this is because doctors go to the doctor too often, and the
    over abundance to RX medications ruin their internal systems.

    It might be a stress issue. It might be a long hours issue. It might
    be
    exposure to more diseases and causes of death through the nature of
    their work. I dunno if Mike Rowe has covered it yet, but doctoring can
    be
    a Dirty Job.

    Quoted message said:
    Quoted message said:

    The issue raises a lot of questions and, for many, sets off a lot of alarm
    bells. The only sure winners so far in the private sector are lawyers hired
    to defend or attack enforced lifestyle rules.

    Thus making the lawyer's wallets fatter then anyone else. Good going size
    nazi bigots.

    Hrm, god forbid anyone try to make a fat person richer and thinner. I
    suspect
    that the fat acceptors will be the biggest obstacle (visual pun
    unintentional, but
    valid) to the progress of incentive based solutions.

    Last thing: I agree with you, taking pay away is a poor answer. Base
    pay is
    viewed as entitlement. Bonuses, however, are good incentives, as they
    are a
    reward for doing more than the base requirement for base pay. That's
    how we
    learned it in my compensation and incentives class (Washington
    University
    in St. Louis, Dr. Barton Hamilton teaching, Spring 2005).

  10. "Daniel" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    http://www.federalnewsradio.com/index.php?sid=1283658&nid=22

    November 1, 2007 - 6:45am

    A growing number of American companies, worried about the growing
    waistlines of their employees and the impact on health care costs, are
    considering either a carrot or stick approach to slim their workforce.

    F-ing libs. They'll have us eating whole grains. [censored].

  11. "Daniel" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    http://www.federalnewsradio.com/index.php?sid=1283658&nid=22

    November 1, 2007 - 6:45am

    A growing number of American companies, worried about the growing
    waistlines of their employees and the impact on health care costs, are
    considering either a carrot or stick approach to slim their workforce.

    F-ing libs. They'll have us eating whole grains. [censored].

  12. "Daniel" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    http://www.federalnewsradio.com/index.php?sid=1283658&nid=22

    November 1, 2007 - 6:45am

    A growing number of American companies, worried about the growing
    waistlines of their employees and the impact on health care costs, are
    considering either a carrot or stick approach to slim their workforce.

    F-ing libs. They'll have us eating whole grains. [censored].

  13. "Daniel" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    http://www.federalnewsradio.com/index.php?sid=1283658&nid=22

    November 1, 2007 - 6:45am

    A growing number of American companies, worried about the growing
    waistlines of their employees and the impact on health care costs, are
    considering either a carrot or stick approach to slim their workforce.

    F-ing libs. They'll have us eating whole grains. [censored].

  14. Robin King said:

    "Daniel" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    http://www.federalnewsradio.com/index.php?sid=1283658&nid=22

    November 1, 2007 - 6:45am

    The proposal was to fine workers $5 per paycheck if they smoked and


    to trim

    Quoted message said:

    $10 from each paycheck if they were overweight and didn't take steps


    to

    Quoted message said:

    slim down. Naturally it caused a firestorm of complaints.

    As it should. Smoking is one thing, but forcing people to
    slim down will make many of them fatter in the long run.

    Cite?

    Quoted message said:


    Quoted message said:

    Many scientists link smoking and obesity with heart disease, cancer,


    and

    Quoted message said:

    diabetes. Some say the latter disease has reached near epidemic
    proportions. Or soon will.

    Hint: Diabetes and hypertension are also associated with
    groups of people that suffer prejudice.

    Cite?

    Quoted message said:

    Hint2: The standards for what blood sugar level constitutes
    diabetes have gotten stricter over the years. That's why you see more
    young people diagnosed with it.

    Cite?

    Quoted message said:

    Hint3: Fat doesn't cause diabetes, and most fat people will
    not get it

    Cite?

    Quoted message said:

    Hint4: Fat people have better survival rates when it comes to
    heart disease.

    Cite?

    Quoted message said:


    Quoted message said:

    So what, if anything, should the government do?

    How about just encouraging healthy lifestyles without using
    weight as a barometer? Or age?

    Age discrimination is illegal, and should be, but a company can legally cut
    costs by having obese employees pay more for their health benefits.

    Quoted message said:


    Quoted message said:

    So what role, if any, does the employer, especially yours, have in


    policing

    Quoted message said:

    the health of workers?

    None.

    Obese workers are more expensive and less productive.

    Quoted message said:


    Quoted message said:

    Should there be a carrot-like incentive (maybe extra
    pay or bonuses) for those with healthy lifestyles? Or should Uncle


    Sam

    Quoted message said:

    wield the stick and whack the wallets and purses of those without


    healthy

    Quoted message said:

    lifestyles.

    How about neither? They're more likely to whack the people
    who can least afford it.

    Why can fat people least afford it?

  15. Robin King said:

    "Daniel" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    http://www.federalnewsradio.com/index.php?sid=1283658&nid=22

    November 1, 2007 - 6:45am

    The proposal was to fine workers $5 per paycheck if they smoked and


    to trim

    Quoted message said:

    $10 from each paycheck if they were overweight and didn't take steps


    to

    Quoted message said:

    slim down. Naturally it caused a firestorm of complaints.

    As it should. Smoking is one thing, but forcing people to
    slim down will make many of them fatter in the long run.

    Cite?

    Quoted message said:


    Quoted message said:

    Many scientists link smoking and obesity with heart disease, cancer,


    and

    Quoted message said:

    diabetes. Some say the latter disease has reached near epidemic
    proportions. Or soon will.

    Hint: Diabetes and hypertension are also associated with
    groups of people that suffer prejudice.

    Cite?

    Quoted message said:

    Hint2: The standards for what blood sugar level constitutes
    diabetes have gotten stricter over the years. That's why you see more
    young people diagnosed with it.

    Cite?

    Quoted message said:

    Hint3: Fat doesn't cause diabetes, and most fat people will
    not get it

    Cite?

    Quoted message said:

    Hint4: Fat people have better survival rates when it comes to
    heart disease.

    Cite?

    Quoted message said:


    Quoted message said:

    So what, if anything, should the government do?

    How about just encouraging healthy lifestyles without using
    weight as a barometer? Or age?

    Age discrimination is illegal, and should be, but a company can legally cut
    costs by having obese employees pay more for their health benefits.

    Quoted message said:


    Quoted message said:

    So what role, if any, does the employer, especially yours, have in


    policing

    Quoted message said:

    the health of workers?

    None.

    Obese workers are more expensive and less productive.

    Quoted message said:


    Quoted message said:

    Should there be a carrot-like incentive (maybe extra
    pay or bonuses) for those with healthy lifestyles? Or should Uncle


    Sam

    Quoted message said:

    wield the stick and whack the wallets and purses of those without


    healthy

    Quoted message said:

    lifestyles.

    How about neither? They're more likely to whack the people
    who can least afford it.

    Why can fat people least afford it?

  16. Robin King said:

    "Daniel" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    http://www.federalnewsradio.com/index.php?sid=1283658&nid=22

    November 1, 2007 - 6:45am

    The proposal was to fine workers $5 per paycheck if they smoked and


    to trim

    Quoted message said:

    $10 from each paycheck if they were overweight and didn't take steps


    to

    Quoted message said:

    slim down. Naturally it caused a firestorm of complaints.

    As it should. Smoking is one thing, but forcing people to
    slim down will make many of them fatter in the long run.

    Cite?

    Quoted message said:


    Quoted message said:

    Many scientists link smoking and obesity with heart disease, cancer,


    and

    Quoted message said:

    diabetes. Some say the latter disease has reached near epidemic
    proportions. Or soon will.

    Hint: Diabetes and hypertension are also associated with
    groups of people that suffer prejudice.

    Cite?

    Quoted message said:

    Hint2: The standards for what blood sugar level constitutes
    diabetes have gotten stricter over the years. That's why you see more
    young people diagnosed with it.

    Cite?

    Quoted message said:

    Hint3: Fat doesn't cause diabetes, and most fat people will
    not get it

    Cite?

    Quoted message said:

    Hint4: Fat people have better survival rates when it comes to
    heart disease.

    Cite?

    Quoted message said:


    Quoted message said:

    So what, if anything, should the government do?

    How about just encouraging healthy lifestyles without using
    weight as a barometer? Or age?

    Age discrimination is illegal, and should be, but a company can legally cut
    costs by having obese employees pay more for their health benefits.

    Quoted message said:


    Quoted message said:

    So what role, if any, does the employer, especially yours, have in


    policing

    Quoted message said:

    the health of workers?

    None.

    Obese workers are more expensive and less productive.

    Quoted message said:


    Quoted message said:

    Should there be a carrot-like incentive (maybe extra
    pay or bonuses) for those with healthy lifestyles? Or should Uncle


    Sam

    Quoted message said:

    wield the stick and whack the wallets and purses of those without


    healthy

    Quoted message said:

    lifestyles.

    How about neither? They're more likely to whack the people
    who can least afford it.

    Why can fat people least afford it?

  17. Robin King said:

    "Daniel" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    http://www.federalnewsradio.com/index.php?sid=1283658&nid=22

    November 1, 2007 - 6:45am

    The proposal was to fine workers $5 per paycheck if they smoked and


    to trim

    Quoted message said:

    $10 from each paycheck if they were overweight and didn't take steps


    to

    Quoted message said:

    slim down. Naturally it caused a firestorm of complaints.

    As it should. Smoking is one thing, but forcing people to
    slim down will make many of them fatter in the long run.

    Cite?

    Quoted message said:


    Quoted message said:

    Many scientists link smoking and obesity with heart disease, cancer,


    and

    Quoted message said:

    diabetes. Some say the latter disease has reached near epidemic
    proportions. Or soon will.

    Hint: Diabetes and hypertension are also associated with
    groups of people that suffer prejudice.

    Cite?

    Quoted message said:

    Hint2: The standards for what blood sugar level constitutes
    diabetes have gotten stricter over the years. That's why you see more
    young people diagnosed with it.

    Cite?

    Quoted message said:

    Hint3: Fat doesn't cause diabetes, and most fat people will
    not get it

    Cite?

    Quoted message said:

    Hint4: Fat people have better survival rates when it comes to
    heart disease.

    Cite?

    Quoted message said:


    Quoted message said:

    So what, if anything, should the government do?

    How about just encouraging healthy lifestyles without using
    weight as a barometer? Or age?

    Age discrimination is illegal, and should be, but a company can legally cut
    costs by having obese employees pay more for their health benefits.

    Quoted message said:


    Quoted message said:

    So what role, if any, does the employer, especially yours, have in


    policing

    Quoted message said:

    the health of workers?

    None.

    Obese workers are more expensive and less productive.

    Quoted message said:


    Quoted message said:

    Should there be a carrot-like incentive (maybe extra
    pay or bonuses) for those with healthy lifestyles? Or should Uncle


    Sam

    Quoted message said:

    wield the stick and whack the wallets and purses of those without


    healthy

    Quoted message said:

    lifestyles.

    How about neither? They're more likely to whack the people
    who can least afford it.

    Why can fat people least afford it?

  18. Hollywood said:

    However, a
    carefully designed incentive system, offering bonus pay for
    maintenance
    of health in addition to improvements might prove lawsuit proof. If
    you
    are overweight and smoke, you can earn the bonus or you can continue
    in your unhealthy ways and cost the company more money in lost
    productivity (have cited the study in Journal of Occupational and
    Environmental Medicine demonstraing lower productivity from heavier
    employees) and higher insurance premiums (those insurance companies
    know a thing or a thousand about risk profiling I imagine, since it's
    their
    whole business model).

    I don't know if such a plan would insure victory in a lawsuit, but I can
    tell you right now one would be filed. If fat people are less productive,
    then give a bonus on productivity. If fat people are sick more, then give
    a bonus on less time off sick. Then you are rewarding things that can be
    measured, quantified, and recorded. Docking pay because a worker is fat
    is morally and ethically wrong, docking pay because the weight affects the
    ability to do the job is more to do with the job then the weight directly.

    The same can be said about smokers... Smokers tend to take many smoke
    breaks, many more then most non-smokers. Docking pay because they smoke
    will result in a law suit. Docking pay for frequent breaks is a job issue
    rather then a personal one.

    If a fat smoker can do the job, doesn't take excessive time off work for
    sickness, and doesn't take too many smoke breaks, docking their pay would
    NEVER stand up in a court of law, because the personal habbits are NOT
    affecting work productivity. But if they are affecting productivity, dock
    because of the reduction.

    Quoted message said:
    Quoted message said:

    She should have lost her job. Her criteria for the people who work for
    her should be job abilities. If you work in a filing room, you need to be
    able to lift 50 lbs, but no other physical attributes should be of concern
    to her.

    Unless, of course, you could demonstrate a causitive link between
    excess
    weight and productivity.

    And then you dock because of the PRODUCTIVITY, not the WEIGHT. This story
    was talking about docking pay because of weight, not productivity.

    Quoted message said:

    Now, if you're
    overweight, you
    probably don't want to hear it and would cry discrimination, but if
    you're
    an employer and you want to get the most productivity out of your wage
    investments, well, it's another story entirely.

    We are in agreement there. But again, that's not what this story was
    talking about. It talked about docking for weight alone, even if it
    wasn't yet an issue for an employee, as a preventative measure. Once it
    IS a REAL problem, dock all you want. But until the problem can be
    quantified, the employeer has nothing to stand on.

    Quoted message said:

    Last thing: I agree with you, taking pay away is a poor answer. Base
    pay is
    viewed as entitlement. Bonuses, however, are good incentives, as they
    are a
    reward for doing more than the base requirement for base pay. That's
    how we
    learned it in my compensation and incentives class (Washington
    University
    in St. Louis, Dr. Barton Hamilton teaching, Spring 2005).

    And that's fine, as long as the bonuses can be given out for work related
    goals rather then personal ones alone.

  19. Hollywood said:

    However, a
    carefully designed incentive system, offering bonus pay for
    maintenance
    of health in addition to improvements might prove lawsuit proof. If
    you
    are overweight and smoke, you can earn the bonus or you can continue
    in your unhealthy ways and cost the company more money in lost
    productivity (have cited the study in Journal of Occupational and
    Environmental Medicine demonstraing lower productivity from heavier
    employees) and higher insurance premiums (those insurance companies
    know a thing or a thousand about risk profiling I imagine, since it's
    their
    whole business model).

    I don't know if such a plan would insure victory in a lawsuit, but I can
    tell you right now one would be filed. If fat people are less productive,
    then give a bonus on productivity. If fat people are sick more, then give
    a bonus on less time off sick. Then you are rewarding things that can be
    measured, quantified, and recorded. Docking pay because a worker is fat
    is morally and ethically wrong, docking pay because the weight affects the
    ability to do the job is more to do with the job then the weight directly.

    The same can be said about smokers... Smokers tend to take many smoke
    breaks, many more then most non-smokers. Docking pay because they smoke
    will result in a law suit. Docking pay for frequent breaks is a job issue
    rather then a personal one.

    If a fat smoker can do the job, doesn't take excessive time off work for
    sickness, and doesn't take too many smoke breaks, docking their pay would
    NEVER stand up in a court of law, because the personal habbits are NOT
    affecting work productivity. But if they are affecting productivity, dock
    because of the reduction.

    Quoted message said:
    Quoted message said:

    She should have lost her job. Her criteria for the people who work for
    her should be job abilities. If you work in a filing room, you need to be
    able to lift 50 lbs, but no other physical attributes should be of concern
    to her.

    Unless, of course, you could demonstrate a causitive link between
    excess
    weight and productivity.

    And then you dock because of the PRODUCTIVITY, not the WEIGHT. This story
    was talking about docking pay because of weight, not productivity.

    Quoted message said:

    Now, if you're
    overweight, you
    probably don't want to hear it and would cry discrimination, but if
    you're
    an employer and you want to get the most productivity out of your wage
    investments, well, it's another story entirely.

    We are in agreement there. But again, that's not what this story was
    talking about. It talked about docking for weight alone, even if it
    wasn't yet an issue for an employee, as a preventative measure. Once it
    IS a REAL problem, dock all you want. But until the problem can be
    quantified, the employeer has nothing to stand on.

    Quoted message said:

    Last thing: I agree with you, taking pay away is a poor answer. Base
    pay is
    viewed as entitlement. Bonuses, however, are good incentives, as they
    are a
    reward for doing more than the base requirement for base pay. That's
    how we
    learned it in my compensation and incentives class (Washington
    University
    in St. Louis, Dr. Barton Hamilton teaching, Spring 2005).

    And that's fine, as long as the bonuses can be given out for work related
    goals rather then personal ones alone.

  20. Hollywood said:

    However, a
    carefully designed incentive system, offering bonus pay for
    maintenance
    of health in addition to improvements might prove lawsuit proof. If
    you
    are overweight and smoke, you can earn the bonus or you can continue
    in your unhealthy ways and cost the company more money in lost
    productivity (have cited the study in Journal of Occupational and
    Environmental Medicine demonstraing lower productivity from heavier
    employees) and higher insurance premiums (those insurance companies
    know a thing or a thousand about risk profiling I imagine, since it's
    their
    whole business model).

    I don't know if such a plan would insure victory in a lawsuit, but I can
    tell you right now one would be filed. If fat people are less productive,
    then give a bonus on productivity. If fat people are sick more, then give
    a bonus on less time off sick. Then you are rewarding things that can be
    measured, quantified, and recorded. Docking pay because a worker is fat
    is morally and ethically wrong, docking pay because the weight affects the
    ability to do the job is more to do with the job then the weight directly.

    The same can be said about smokers... Smokers tend to take many smoke
    breaks, many more then most non-smokers. Docking pay because they smoke
    will result in a law suit. Docking pay for frequent breaks is a job issue
    rather then a personal one.

    If a fat smoker can do the job, doesn't take excessive time off work for
    sickness, and doesn't take too many smoke breaks, docking their pay would
    NEVER stand up in a court of law, because the personal habbits are NOT
    affecting work productivity. But if they are affecting productivity, dock
    because of the reduction.

    Quoted message said:
    Quoted message said:

    She should have lost her job. Her criteria for the people who work for
    her should be job abilities. If you work in a filing room, you need to be
    able to lift 50 lbs, but no other physical attributes should be of concern
    to her.

    Unless, of course, you could demonstrate a causitive link between
    excess
    weight and productivity.

    And then you dock because of the PRODUCTIVITY, not the WEIGHT. This story
    was talking about docking pay because of weight, not productivity.

    Quoted message said:

    Now, if you're
    overweight, you
    probably don't want to hear it and would cry discrimination, but if
    you're
    an employer and you want to get the most productivity out of your wage
    investments, well, it's another story entirely.

    We are in agreement there. But again, that's not what this story was
    talking about. It talked about docking for weight alone, even if it
    wasn't yet an issue for an employee, as a preventative measure. Once it
    IS a REAL problem, dock all you want. But until the problem can be
    quantified, the employeer has nothing to stand on.

    Quoted message said:

    Last thing: I agree with you, taking pay away is a poor answer. Base
    pay is
    viewed as entitlement. Bonuses, however, are good incentives, as they
    are a
    reward for doing more than the base requirement for base pay. That's
    how we
    learned it in my compensation and incentives class (Washington
    University
    in St. Louis, Dr. Barton Hamilton teaching, Spring 2005).

    And that's fine, as long as the bonuses can be given out for work related
    goals rather then personal ones alone.

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