IQ Test for Gastric Bypass Patients?
I stumbled across this article about Blue Cross Blue Shield of Tennessee’s decision to require all morbidly obese people under their coverage to take an IQ test before being covered for a gastric bypass surgery. After reading the article, I found myself asking two questions: 1. Is it right to require that patients have a certain degree of intelligence before recieving a potentially life saving operation? 2. Since many cases of obesity are the result of bad eating habits rather than disorders, should those without a disorder recieve coverage for something they caused themselves?
I do not mean to be insensitive to anyone who is overweight or obese, as I am not a twig myself, but there are certain proven trends in obesity. Obesity tends to be more common in the lower social and economic groups. This is a fact. Mississippi, one of the poorest states in the nation (if not THE poorest) has the highest percentage of obese residents in the US. If you look at the shift in advertising for such fast food chains as McDonald’s and Burger King, you see that more and more commercials are geared towards minorities and teenagers, and often have a rap, hip hop, r&b feel to them. This is hardly a coincidence, as these are the most likely groups to be attracted to cheap food. Unfortunately, in our culture of supersizing, obesity is becoming a huge problem and many people are looking towards gastric bypass as a cosmetic procedure rather than a life saving one.
Insurance companies have an obligation to cover their customers from anything that may befall them outside the realm of their control. Just as burning your house down purposely does not allow you to clain your insurance money, I do not think people with bad eating habits should be able to claim health insurance to finance this operation. People who are eating badly KNOW that continuing on the path they are on will lead them to obesity. This is common knowledge and anyone who does not know this will certainly not pass an IQ test given to them by their insurer. Why should insurance companies reward money to people who could have controlled their weight easily with a little bit of self control? Now, if a customer has a disorder in which they cannot control their weight, they should be allowed full coverage, especially if it is a matter of life and death.
On the issue of the IQ test, first we need to determine if IQ should have anything to do with someone recieving the medical care that they require. I think that requiring someone to be of a certain intelligence before recieveing treatment is blatant discrimination and is just plain wrong. Now, all of this was about medical attention, not about whether the insurance company should pay for these people or not. Of course the insurance company should pay for these people, but I suppose they reserve the right to require this of all people purchasing policies AFTER their change in doctrine. If this is the inevitable decision of the insurance company, I suggest that they make some changes to it. Perhaps instead of requiring an IQ test from everyone, it should only be required from people whose obesity was caused by their own bad eating habits. All people with disorders should recieve the operation with the full insurance coverage. Now from those taking the IQ test, the people on the LOW end of the spectrum should recieve the coverage because they are less likely to be able to realize and understand the consequences of their diet. Those who know the consequences but continue on the path should not recieve coverage.
Of course my proposed idea is discriminating, but it is less discriminating than that put into place by Blue Cross Blue Shield. Ultimately we are all responsible for ourselves, and for most people, obesity is within your control. Should this allow insurance companies to decide whose life they save? Absolutely not. Everyone in America should recieve the medical care they need. Operate first and worry about the money later.
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