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ElwoodBlues · M
That's too extreme for me. But treating them like smokers makes sense. After all, it's a choice like smoking is.
The practice of charging tobacco users more is called tobacco rating. The ACA allows for insurance companies to charge smokers up to 50% more (or premiums that are 1.5 times higher) than non-smokers through a tobacco surcharge.
https://www.healthmarkets.com/content/smoking-and-health-insurance