Should People With Unhealthy Lifestyles Pay Higher Health Insurance Premiums?

David R. Buchanan


J Prim Prev. 2011;32(1):17-21. 

In This Article


As the contentious debates about health care reform at the state and national levels in the US have shown, a significant proportion of the American public demands that individuals be held accountable for the behaviors. They do not accept the strong egalitarian position that people are entitled to an equal share of the benefits irrespective of level of effort. With conscientious development, policies can be written that achieve an acceptable balance of principles that are fair to all involved. As various plans are enacted, it will be critical to examine the effects of such policies and how much good they actually accomplish.