Workplace Wellness Programs Are Just an Excuse to Lower Your Pay

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I don’t like workplace wellness programs. This isn’t because I think they do no good. It’s because I don’t like the idea of employers deciding that they can dictate my personal health choices. Or any of my other personal choices, for that matter. Maybe it’s for my own good, but so what? Lots of things are for my own good. Nonetheless, I’m an adult, and I get to choose these kinds of things for myself, even if I sometimes make bad choices.

Today, however, Austin Frakt and Aaron Carroll delight me by surveying the literature on wellness programs and bolstering my personal pique with actual facts. It turns out that wellness programs, in fact, generally don’t do any good:

Rigorous studies tend to find that wellness programs don’t save money and, with few exceptions, do not appreciably improve health. This is often because additional health screenings built into the programs encourage overuse of unnecessary care, pushing spending higher without improving health.

However, this doesn’t mean that employers aren’t right, in a way. Wellness programs can achieve cost savings — for employers — by shifting higher costs of care onto workers. In particular, workers who don’t meet the demands and goals of wellness programs (whether by not participating at all, or by failing to meet benchmarks like a reduction in body mass index) end up paying more. Financial incentives to get healthier sometimes simply become financial penalties on workers who resist participation or who aren’t as fit. Some believe this can be a form of discrimination.

This is basically what I’ve long suspected. For the most part, wellness programs are a means to reduce pay for employees who don’t participate, and there are always going to be a fair number of curmudgeons who refuse to participate. Voila! Lower payroll expenses! And the best part is that employers can engage in this cynical behavior while retaining a smug public conviction that they’re just acting for the common good. Bah.

Did I mention that I don’t like workplace wellness programs?

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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