Conflicts and Compromises in Not Hiring Smokers

From the Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center (D.A.A., K.G.V.), and the Perelman School of Medicine (D.A.A., K.G.V.), the Wharton School (D.A.A., K.G.V.), the Center for Health Incentives and Behavioral Economics, Leonard Davis Institute of Health Economics (D.A.A., R.W.M., K.G.V.), and the University of Pennsylvania Health System (R.W.M.), University of Pennsylvania - all in Philadelphia.
New England Journal of Medicine (Impact Factor: 54.42). 03/2013; 368(15). DOI: 10.1056/NEJMp1303632
Source: PubMed

ABSTRACT Tobacco use is responsible for approximately 440,000 deaths in the United States each year - about one death out of every five. This number is more than the annual number of deaths caused by HIV infection, illegal drug use, alcohol use, motor vehicle injuries, suicides, and murders combined(1) and more than the number of American servicemen who died during World War II. A small but increasing number of employers - including health care systems such as the Cleveland Clinic, Geisinger, Baylor, and the University of Pennsylvania Health System - have established policies of no longer hiring tobacco users. These employers . . .

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