Whole Foods offers a scaled employee benefit system. In order to get the better benefits you must meet certain cholesterol and blood pressure requirements and not have nicotine in your system. Once those are met, then your benefit level is based on your body mass index. Their system is:
The program is optional. It wouldn’t be optional for me though because whatever is below Bronze, I’m it. Just call me level lead I guess.
It’s ridiculous at first glance because if they truly think that people with higher BMIs are less healthy, and if they are touting themselves as a health food store, and if they really [mistakenly] believe that thinner is healthier, then shouldn’t the fatties get the best discounts?
Bizarre pseudo-hypocrisy aside, let’s get clear on something: Obesity is not the opposite of health. The way I know that is that we don’t use the same scale to measure them and they are thus incomparable. Every time I see this done, it makes me want to scream. This is not rocket surgery or brain science. We measure health using measures of health, we measure obesity using a ratio of weight and height. See what I mean – not the same thing at all. Not for nothing, but if obesity was the opposite of healthy, the word “unhealthy” would be much less likely to exist.
I cannot image why we are still using a mathematical formula that was created to look at the differences in body sizes of populations and was never intended to be used to measure the health of anything or any one to measure individual health, all the while acting like nobody understands the difference between correlation and causation, or why this is a terrible idea. It’s embarrassing. (Don’t just take my word for it though, see what Dr. Jon Robinson, PhD, MS thinks about it.)
Beyond all of that, I thinks it’s a truly terrible idea to start punishing people for things that can be beyond their control (and make no mistake, whatever spin they put on it that “it’s not a punishment for employees who don’t qualify, it’s an incentive for those who do qualify”, it’s a punishment when your groceries cost more because you are fat or have high cholesterol.)
Mostly, I don’t think that employee benefits programs should be built on a foundation of healthism. Employees are responsible for doing the job that they were hired to do with reasonable accommodations and for doing that they should receive fair pay and benefits. They are not responsible for being healthy by their company’s definition and their compensation should not be size or health dependent.
Obviously given its policies I have no interest in working for, or shopping at, Whole Foods. But let’s have a moment of silence for their tall employees (who we know get a skewed BMI) and for their athletic employees (whose musculature increases their BMI) and for employees who are being rewarded for being underweight due to eating disorders, and for employees whose natural cholesterol and blood pressure are higher than what the people at Whole Foods think is healthy, and for their employees who work just as hard as their co-workers who are thinner, and/or have lower cholesterol and blood pressure, but receive lower pay.
We’ve already seen evidence that there is bias in the hiring of fat people, and a pay differential when we do get hired, now they want to punish us with worse benefits as well. Here’s a novel idea – maybe Whole Foods could reward their employees for doing good work with a paycheck and benefits package. be in the grocery business, and leave health care to the health care professionals.
NOTE: I received a note from a reader saying that they thought that this program was no longer in effect. Prior to writing the blog I had verified it with three employees and Mark at the main office. Today I spoke with Kristi at the main office and she verified it as well.
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Today’s blog is a re-post of a blog that I did about a year ago with some slight edits. I wanted to repost it because I discussed it at my talk at Google today (see how I worked in that I gave a talk at Google today…) and I really think that it’s very representative of a huge problem that we have getting true information about our health and I have a bunch of new readers since a year ago so I wanted to give it a little more attention:






