In the age group from 20 to 65, if a person has a job that provides a health care package, they are all grouped in under a group plan. They don’t pay higher rates.
At retirement, the smoker can then sign up for Medicare and an HMO, PPO, or a PFFS plan. If they opt not to, they can also sign up for a Medicare Supplement plan under a process that is not medically tested. Another-words, there are no health questions. You’re just grandfathered in.
I agree that the tobacco taxes are very high. I don’t agree with that based on my assumption that none of the funds collected go to pay for the smoker’s negative impact on the system.
If a person is not able to get on a group plan for whatever reason, they then have to pay more. That’s probably a small portion of the public.
I believe there are debatable points about the heavy or alcoholics costing the system as much as a smoker does, and the fact they don’t pay a special fee. Taxes on liquor are not as high as the taxes on cigarettes, but those cigarette taxes are almost certainly spent on general budget things, not what it was intended for, or promised to be spent for.
True... however the insurance companies have actuarial data and price the group plans according to their real world experience with these populations... so the smoking-related (and other) stuff is calculated in already.