Most favor penalty for smokers, overweight
The idea of charging more for risky behavior is well grounded in American insurance practice. Auto insurers charge more for reckless and drunk drivers, and insurers offer good-driver discounts as well. Life insurers routinely adjust their rates - or refuse to offer coverage - based on factors like smoking, age, dangerous occupations and medical history.
But the notion of charging more for risky living is controversial when applied to health care coverage.
With rare exceptions, corporate and government health plans do not charge extra to obese people, smokers or those who engage in unhealthy behaviors. Nor do many plans offer anything beyond a token discount for safe and healthy living.
