This could be a very interesting thread. The first idea that comes to my mind is how did health insurance ever become connected to a job benefit? Since it did, it seems to me, that companies, since most are privately owned, have the right to set what standards they want for employees they hire. If the health insurance they provide is cheaper for those who make healthier life styles, then, IMO, that is their right. If one disagrees, they can go work somewhere else, or refuse the health insurance and purchase it on the private market.
I do not know what year in our history the connection was made between working and health insurance, or how the government got their paws into the pot, but it must have evolved over time. For example, I doubt ranch hands in the Wild West took out insurance with the person who owned the ranch. If they got sick, they went to the local doctor in town and paid the bill the best they could.
Since we now have a system where the government is involved in some fashion of everyone's health care, choices are very limited. Most all older folks use Medicare to some degree.
Yes, I agree with your general premise. Why should I have to pay a higher premium for those who choose to eat like a 400 pound pig or smoke like a chimney top?
If I understand correctly it was during WWII. Govt got involved to provide an incentive to get more people into the workforce, since so many men were fighting the war.
Govt gave tax breaks to business who could offer a health insurance benefit to workers. Prior to then, health insurance was a private transaction, just as auto insurance is today.
Gradually, over time, health/life/shortterm disability insurance through an employer replaced, for the most part private insurance. After the war, the tax incentive continued to be in effect. The public grew accustomed to insurance as an employment perk.
If the govt had stayed out of the picture, we'd have little green reptiles hawking health insurance on TV. When was the last time you saw a health insurance ad? Why compete for individual policies, when a business with hundreds or thousands of employees can be the middle man with 1 contract?
I used to work as a health insurance administrator. Meaning I put the insurance contracts out for bid for my company. Content of the contract was determined by the employer and options available from each potential insurer. Individual employees didn't have any say in their coverage. Few realized that I with management approval could set payment percentages, deductible, out of pocket expense, and inclusion/exclusion of certain types of coverage. Dental, vision, prescriptions, etc.
If, after the war, government had taken their fingers out of health insurance coverage, we wouldn't be in this mess today. If in 1965 (if memory serves) the govt hadn't started putting their whole hand in by starting Medicare, we wouldn't be in this mess today. I'd be buying both health and auto insurance from a competive market place. Instead we're facing goverment control of the rest of the health insurance market.