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Jump to full article: Physicians for a National Health Program (PNHP), 2009-06-04 Author: J. Wesley Boyd, M.D., Ph.D. David Himmelstein, M.D. Steffie Woolhandler, M.D., M.P.H. Cambridge Health Alliance
Intro: The Obama administration is
proposing a major overhaul of the U.S. health care
system, and the insurance industry is poised to
play a major role in the process. . . .
In case there is any doubt that insurers place
profit above health, consider their investments in
tobacco. The U.S.-based Prudential Financial provides
life insurance and long-term disability coverage
and is also a major owner of tobacco stocks,
with total tobacco holdings of $264.3 million
(Table 1). The U.K.-based Prudential offers life,
health, disability, and long-term care insurance.
Prudential’s stake in tobacco totals $1.38 billion.
Standard Life, which is also based in the United
Kingdom and offers both life and health insur
ance, owns nearly $950 million of tobacco stock.
Canada-based Sun Life, which offers life, health,
disability, and long-term care insurance, owns
just over $1 billion of tobacco stock. Northwestern
Mutual and Massachusetts Mutual Life Insurance
Company (MassMutual) both offer life, disability,
and long-term care insurance. MassMutual
owns more than $585 million of tobacco stock,
and Northwestern Mutual’s stake exceeds $235
million. (These figures are accurate as of March
26, 2009, but given the current economic climate,
they are subject to change.)
Although investing in tobacco while selling life
or health insurance may seem self-defeating, insurance
firms have figured out ways to profit
from both. Insurers exclude smokers from coverage
or, more commonly, charge them higher premiums.
Insurers profit — and smokers lose —
twice over.
These facts should discomfit Canadian and
British readers as their countries consider further
privatization of health insurance. For those of us
in the United States, these data are a reminder of
the true priority of the insurance industry, which
is making money, not ensuring health and wellbeing.
These data raise a red flag about the
prospect of opening vast new markets for private
insurers at public expense, as has happened in
our state of Massachusetts, whose recent health
care reform is often cited as a model for national
reform.
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