Tuesday, March 27, 2012

Weight, Weight, Don't Tell Me

Things truly are larger in Texas.  Just...not the employees at one Texas hospital, apparently.

A Victoria hospital already embroiled in a discrimination lawsuit filed by doctors of Indian descent has instituted a highly unusual hiring policy: It bans job applicants from employment for being too overweight.
The Citizens Medical Center policy, instituted a little more than a year ago, requires potential employees to have a body mass index of less than 35 — which is 210 pounds for someone who is 5-foot-5, and 245 pounds for someone who is 5-foot-10. It states that an employee’s physique “should fit with a representational image or specific mental projection of the job of a healthcare professional,” including an appearance “free from distraction” for hospital patients.
“The majority of our patients are over 65, and they have expectations that cannot be ignored in terms of personal appearance,” hospital chief executive David Brown said in an interview. “We have the ability as an employer to characterize our process and to have a policy that says what’s best for our business and for our patients.”
Employment lawyers say Citizens Medical Center’s hiring policy isn’t against the law. Only the state of Michigan and six U.S. cities — including San Francisco and Washington, D.C. — ban discrimination against the overweight in hiring.

As Americans are expected to get larger, expect hiring policies like this to become more prevalent, especially in the health care sector.  And I'm saying this as a big guy working in the health care sector who wouldn't make the 35 BMI requirement.  Our friends in the GOP will tell us of course that employers should have the right to be able to hire and fire based on weight and that it makes good economic sense to do so in order to stay competitive with healthier employees, never mind that the same GOP tells us that pink slime in our burgers and pollutants in our food and water are FREEDOM and stuff.

I honestly think that weight is going to be the next major issue in employment discrimination, and you'll see SCOTUS get a case involving this before too long.  Still, not everyone is okay with this policy at Citizens.  Existing employees will keep their jobs and will get help in losing weight, but...

A doctor at Citizens who declined to be named acknowledged that employees — and patients — who are overweight cost the health care system more. But he said body mass index as a primary measure of obesity is not a good indicator: A professional football player might have a body mass index of 32, which is technically obese, but only have 7 percent body fat.
And unless obese job applicants have other precipitating health factors, he said, their weight wouldn’t get in the way of being a successful hospital employee. “If more people knew about it,” the doctor said of the employment policy, “they would be justifiably pissed.

Consider this my contribution to the whole The More You Know thing.

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