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Cleveland Clinic will not Hire Smokers



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No. 40
Old Jul 03, 2007, 01:00 AM

Default Re: Cleveland Clinic will not Hire Smokers
Non-pilots are not required to hold a medical class physical; I worked rotor transport for years, along with coworkers who were on insulin pumps, etc.

Besides, I was explaining that these large, yet expert people are denied employment based solely on size alone, and it had nothing to do with their ability to do the job (or the patient's perception).

And my point was that these employers have the privilege to get rid of competent employees based on physical traits alone. I'm sure one day an ambitious employee may think of trying to force the employer to change to an aircraft that is capable of accomodating their size.

And as much as I despise smoking, I don't believe an employer can ethically discriminate against just one kind of behavior. And if people decide that it would be OK for the Clinic to discriminate against smokers because of the health risk, then they have nothing to stand on if another employer chooses to deny employment to motorcyclists, or to people who undergo medical procedures that place them at proven risk for later health problems that can be very costly and problematic (i.e. cause them to miss a lot of work).
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No. 41
Old Jul 03, 2007, 01:01 AM
Updated Jul 03, 2007 at 01:03 AM by mercyteapot

Default Re: Cleveland Clinic will not Hire Smokers
[quote=DarrenWright;2279407]
Originally Posted by mercyteapot View Post
If you're not hired for a job because you aren't able to perform the essential functions of it, for whatever reason, you're not being discriminated against. You are simply unqualified for the position.



This has nothing to do with what the patients are capable of "knowing," but more rather the function of the facility. They are attempting to reduce lost work time and probably insurance cost. If they choose to eliminate an employee based on simple "unhealthy" appearance, they can't just choose one behavior that is even less obvious than others (i.e. such as obesity, and there are no doubt obese people working in the Clinic).

There is absolutely no way you can isolate smoking as a behavior with no valid comparisons in this issue.

BTW, I work with smokers, some of which I never knew smoked until they took a smoke break...there was no odor.
Ostensibly, at least, it is about the behavior that is being modeled by CC employees. In all reality, it is about the bottom line, but that's not what CC is saying. Obesity is multifactoral; smoking isn't. CC could get caught up in all sorts of legal trouble by attempting to isolate only obese employees and not bulimic ones, or compulsive exercisers or simply the genetically blessed amongst who have high burning metabolisms. It is, after all, the overeating and underexercising that so often result in obesity that would be the unhealthy behaviors, not the resultant obesity.

As far as you not knowing certain people smoke, I'm sure that's true, but there are plenty of us who can smell 'em coming a mile away.
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No. 42
from Tweety
Old Jul 03, 2007, 04:52 AM

Default Re: Cleveland Clinic will not Hire Smokers
Originally Posted by DarrenWright View Post
And as much as I despise smoking, I don't believe an employer can ethically discriminate against just one kind of behavior. And if people decide that it would be OK for the Clinic to discriminate against smokers because of the health risk, then they have nothing to stand on if another employer chooses to deny employment to motorcyclists, or to people who undergo medical procedures that place them at proven risk for later health problems that can be very costly and problematic (i.e. cause them to miss a lot of work).

By that same argument do you think pre-employment drug screening to weed out people who take intoxicating substances is wrong because it discriminates against them?

I do see your point, if the CC moves the line up from people who take drugs to people who smoke and we don't object and later they move that line up to include people who don't wear a helmut when they ride a motorcycle, we loose a little bit of ground if we object.

Despite those fears, I do support the CC drawing the line here and wanting employees who not only talk the talk but walk the walk. The same as gyms want their gym trainers to be in shape, or trying to get in shape, it's not a stretch for me to think a hospital would want employees who don't smoke.
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No. 43
from NREMT-P/RN
Old Jul 03, 2007, 07:42 AM

Default Re: Cleveland Clinic will not Hire Smokers
Hey there Darren -

There are some air medical providers that are moving to independent providers and their medical crew can be required to meet FAA regulations. So....

I also think that the "strict" rules from years ago on weight are eased in certain programs based on the aircraft.

Thin is nice. Competent is absolutely required. We have a couple of medics over 250# at 6'3". I think that would feel pretty tight, but .... no real problems.

But now when the "spit cups" that were left by prior crew rolls out of the helicopter door it does p(&% you off - wonder how to stop THAT? And the smoking thing does irk me, but much less so that when I did ICU and "they" were taking breaks every hour or so! But, I would vote FOR a nicotine ban as a prohibited substance.

And what about pretty? That is "required" too!? (Kinda kidding..)
And NO, I really don't take myself that seriously!

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No. 44
Old Jul 03, 2007, 09:51 AM

Default Re: Cleveland Clinic will not Hire Smokers
Originally Posted by Tweety View Post
By that same argument do you think pre-employment drug screening to weed out people who take intoxicating substances is wrong because it discriminates against them?

I do see your point, if the CC moves the line up from people who take drugs to people who smoke and we don't object and later they move that line up to include people who don't wear a helmut when they ride a motorcycle, we loose a little bit of ground if we object.

Despite those fears, I do support the CC drawing the line here and wanting employees who not only talk the talk but walk the walk. The same as gyms want their gym trainers to be in shape, or trying to get in shape, it's not a stretch for me to think a hospital would want employees who don't smoke.
Screening for intoxicating substances is not discriminatory for several reasons; 1. they impair performance. You can crash a car because of being intoxicated by alcohol or drugs, but smoking will not impair your driving ability. 2. They are illegal. 3. There is concern that someone who is dependent will abuse their position to obtain intoxicating substances, which could directly harm our patients; i.e. replacing narcotics with sterile water. Regarding number 2 (side note), I don't think these drugs should be illegal (because our war on drugs is just as corrupt as the drug trade itself), but even if legalized, employers should be permitted to screen for anything that will impair employee thinking.

Your gym analogy would be fine if the Clinic was doing it for the same reason. I'm sure the gym wants 'in shape' employees because customers won't want to be trained by an unfit trainer, but the Clinic isn't trying to protect it's consumer base with this policy; they are trying to reduce cost by discriminating against one specific type of behavior that is otherwise socially acceptable. People smoke for social reasons, some for therapeutic reasons. I personally think cigarette smoking is foul, but I enjoy the occassional Vanilla Tampa with a cedar tip, or a Cohiba with my Dos Equis. So they take away my tobacco...what's next? I have to toss my Bailey's and Frangelica? Pour out my Sam Adams? Sign a waver that says I will always wear a helmet when I ride my bike, won't drive more than 8 hours at at time when I'm going to visit my family, or go to hunting camp every year? That is a slippery slope that we should not even approach, and that's the day many of us quit healthcare and leave it to places like the Clinic (who already struggle with shortages) to figure out where to find workers.
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No. 45
Old Jul 03, 2007, 09:59 AM

Default Re: Cleveland Clinic will not Hire Smokers
Originally Posted by NREMT-P/RN View Post
Hey there Darren -

There are some air medical providers that are moving to independent providers and their medical crew can be required to meet FAA regulations. So....

I also think that the "strict" rules from years ago on weight are eased in certain programs based on the aircraft.

Thin is nice. Competent is absolutely required. We have a couple of medics over 250# at 6'3". I think that would feel pretty tight, but .... no real problems.

But now when the "spit cups" that were left by prior crew rolls out of the helicopter door it does p(&% you off - wonder how to stop THAT? And the smoking thing does irk me, but much less so that when I did ICU and "they" were taking breaks every hour or so! But, I would vote FOR a nicotine ban as a prohibited substance.

And what about pretty? That is "required" too!? (Kinda kidding..)
And NO, I really don't take myself that seriously!

I've worked for both hospital based and independent (non-affiliated) providers. No FAA type class medical exam is required.

And the aircraft issue was my point; instead of making the employee fit the aircraft, make the employer purchase an aircraft that can accomodate the otherwise expert employee.

The "spit cups" (usually left by pilots where I worked), are definitely annoying, but it's not something you remedy with a no-tobacco policy. Where I worked, it was something we resolved by enforcing existing policy on work-space conduct...the same thing we'd do if they left a half-empty cup of coffee or granola wrapper in the same place or came to work smelling like they hadn't showered in a week.

A nicotine ban is a terrible idea, and also leaves room for people to face employment jeapordy based on inaccurate tests; I'm not going to refuse to socialize with my friends who smoke simply because of a possible nicotine test.

The reasons for this policy require review, and these reasons need to be considered when determining the appropriateness of the policy.
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No. 46
Old Jul 03, 2007, 11:23 AM
Updated Jul 03, 2007 at 11:30 AM by mercyteapot

Default Re: Cleveland Clinic will not Hire Smokers
Originally Posted by DarrenWright View Post
Your gym analogy would be fine if the Clinic was doing it for the same reason. I'm sure the gym wants 'in shape' employees because customers won't want to be trained by an unfit trainer, but the Clinic isn't trying to protect it's consumer base with this policy; they are trying to reduce cost by discriminating against one specific type of behavior that is otherwise socially acceptable.
CC hasn't said that they're trying to reduce costs; they've said that they're trying to avoid employees who model unhealthy behavior. You keep pointing this out to people who mention the effect smokers have on their patients, saying that CC hasn't made this decision based on that. It is unfair for you, then, to keep mentioning cost when that also isn't what CC is claiming as their motive.
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No. 47
Old Jul 03, 2007, 12:50 PM

Default Re: Cleveland Clinic will not Hire Smokers
Originally Posted by mercyteapot View Post
CC hasn't said that they're trying to reduce costs; they've said that they're trying to avoid employees who model unhealthy behavior. You keep pointing this out to people who mention the effect smokers have on their patients, saying that CC hasn't made this decision based on that. It is unfair for you, then, to keep mentioning cost when that also isn't what CC is claiming as their motive.
Of course they said that. It's blatantly false. There is no financial incentive for the Clinic to influence non-smoking behavior among it's patients, but significant financial benefit to dictate employee behavior. And if they want to suggest that there is no financial impact on lost time due to smoking related illnesses, then they are hypocrites to suggest that there is then a need to model healthy behavior by banning smokers.

Next they will be turning away people with elevated blood sugar or high cholesterol, or forcing a genetics screening for certain diseases...all unethical big brother behavior that is a violation of civil liberties.

Would they suggest that Barak Obama is uneligible to be president? Would Dr. Freud would be turned away for a job in psychiatry?
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No. 48
Old Jul 03, 2007, 02:58 PM

Default Re: Cleveland Clinic will not Hire Smokers
Originally Posted by DarrenWright View Post
Of course they said that. It's blatantly false. There is no financial incentive for the Clinic to influence non-smoking behavior among it's patients, but significant financial benefit to dictate employee behavior. And if they want to suggest that there is no financial impact on lost time due to smoking related illnesses, then they are hypocrites to suggest that there is then a need to model healthy behavior by banning smokers.

Next they will be turning away people with elevated blood sugar or high cholesterol, or forcing a genetics screening for certain diseases...all unethical big brother behavior that is a violation of civil liberties.

Would they suggest that Barak Obama is uneligible to be president? Would Dr. Freud would be turned away for a job in psychiatry?
Yes, of course this decision is driven by the bottom line, just as it is also driven by the way patients perceive the health of their caregivers. When that point was brought up, you pointed out that CC wasn't saying their decision was based on that. No, they didn't, but common sense tells us that in this customer service crazy industry, it absolutely played a role. If that shouldn't count for the purposes of this discussion because it ''isn't what CC is saying'' then either should the cost factor. It is difficult to have a conversation with someone who wants all factors to play into their point of view but only designated ones to play into anyone else's.
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No. 49
from EmerNurse
Old Jul 03, 2007, 03:33 PM
Updated Jul 03, 2007 at 06:04 PM by rn/writer

Default Re: Cleveland Clinic will not Hire Smokers
Originally Posted by Balder View Post
Oh, wow, you mean they were smoking in the patients rooms, or the hallways or what? How were the smokers endangering their patients?
By carrying an unpleasent odor?

Smoking is dangerous to your health, no one should smoke. But it is still legal, and if someone wants to do it they should not have their employment endangered as long as they are not endangering others.

Come on, with the intent of "we're modeling what we think is appropriate healthy behavior." the next thing is to not hire overweight people, or those who drink alcohol.

This is simply another example of the steady erosion of personal rights in this country. The liberal left seems to always know what is better for others and to force that on the population as a whole.

Let me take care of myself in my personal life, if what I do is endangering others than put a stop to it, but if it is only myself than that is my right in this country to do so.
I have to agree wholeheartedly! The Clinic isn't talking about employees who smell of smoking exacerbating an asthmatic. They're talking about lowering insurance rates in the name of "modeling... appropriate heathy behavior." By that argument, people with high cholesterol or obesity who aren't following a prescribed diet are in the same category as smokers, as people who are actively doing something legal but not good for them. While I think everyone should do what it healthy, I am well aware as a smoker that not everyone does. But on my own time, I don't believe my work has the right to pick on me for smoking unless they're picking on EVERYONE who does something they know they shouldn't, based on their health. Next, it'll be noncompliant diabetics.

I don't think those who've had a one-off thing in the past, should be targeted. Would we think it ok if someone who had a drug problem 20 years ago (or even 2 years ago) but is now clean, should be banned from employment? Even nurses who are in recovery are not discriminated against in this way (in theory).

Oh as for those who say all smokers take hourly breaks... I take small mini-breaks, less than 2 minutes, a couple times on my shift... but I also am the first one back from my regular break, and don't sit on the internet and don't chat for 30 minutes about my personal life with my coworkers when there's work to be done, etc. Don't paint all smokers with the same brush - many of us are insanely anal about not abusing our smoking habit at work and don't participate in the many other non-work time consuming activities others do.
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