Jan Brewer Wants to Charge Medicaid 'Fat Fee'
Arizona governor's plan would charge smokers, obese people $50
By Evann Gastaldo, Newser Staff
Posted Apr 1, 2011 7:27 AM CDT
Arizona Governor Jan Brewer addresses the crowd during an Arizona Republican Party election night event at the Hyatt Regency November 2, 2010 in Phoenix, Arizona.   (Getty Images)

(Newser) – Arizona Gov. Jan Brewer has an idea for how to raise money for the state’s Medicaid program: charge obese people and smokers. Brewer’s proposal would require smokers or obese people who don’t follow a doctor’s weight loss program to pay a $50 fee if they are enrolled in Medicaid. If approved, it would be the first time Medicaid has charged people for unhealthy behavior, the Wall Street Journal notes. The revenue would offset recent cuts to the program, and could reverse last year’s limitation of organ transplants.

“If you want to smoke, go for it," says a spokesperson for Arizona’s Medicaid program. "But understand you're going to have to contribute something for the cost of the care of your smoking." One Democratic state senator called the proposed fee unfair. "If someone is obese because they're severely disabled or can't exercise, we shouldn't be punishing them," she said. Under Brewer’s proposal, childless adults who smoke or are obese or chronically ill would be required to work with a doctor to develop a plan to improve their health. The fee would be levied upon those who don’t meet specified goals. Of course, such a fee will likely require authorization from Washington’s Centers for Medicare and Medicaid Services, and a spokesperson for that agency says no such levy has ever been approved.

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Showing 3 of 43 comments
Jun 17, 2011 6:57 PM CDT
I actually think that this is a pretty good idea, however, I don't want to hear about ANYTHING from Ms. Jan Brewer. She makes me ill. Just look at her expression, as if to say, "Oh, look at how "pretty" I am!! Let's charge "ugly" people money for healthcare. Fat is ugly!!! Look at meeeeeee". Let's hear about this idea for holding people responsible for their bad health choices from someone who actually CARES about human beings, not some aging old T#@T!!!!
Apr 7, 2011 5:48 PM CDT
Don't call it a fee though. How about Rotundity Enhancement Contribution. The airlines can charge for large passenger. That's been upheld in court cases. What's next? Maybe restaurants should be able to charge extra for above average sized customers. Buffets could charge customer by the pound. Probably wouldn't work. They'd just go in with a skinny person and order water, then eat off the others plate.
Apr 2, 2011 8:00 PM CDT
What happened to that all important conservative creed of government non-interference in the lives of citizens? Not saying I totally disagree with this "person's" plan, just that it smacks of hypocrisy.