Drug Testing and Privacy

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To the editor,

Employee drug testing is a civil liberties violation and a highly flawed practice. The U.S. Department of Labor has reported that 9% of current employees and 12% of job applicants test positive for illegal drug use. Given these numbers, and the fact that drug abuse is estimated to cost business $100 billion per year in lost profits, it is no wonder that many businesses react with knee-jerk simplicity by requiring drug testing.

The urine and blood in my body is sacrosanct, personal, and it is my choice and my business to do with it as I will. That choice and that privacy should not become a personal dilemma under pressure from an employer. This is the primary reason why I will never work for an employer who begins our relationship by testing my body for illegal drugs. There are several other reasons why employees, applicants, and employers should be against workplace drug testing.

Drug testing amounts to unequal treatment under the law. There are hundreds of thousands of employees hooked on pain killers and anti-anxiety medications. Are they compelled to an invasion of privacy and then discriminated against? No. What about alcoholics coming to work with a hangover every day? Are they tested and then discriminated against? No. Fairly distributed employee testing should include pharmaceutical addicts, alcoholics, the chronically fatigued, the emotionally unstable, the attention deficit sufferer, the dyslexic, the hyperactive, and the ill-tempered. Imagine the uncounted trillions of dollars of profit lost to these human flaws.

Human error in the lab, or the test's failure to distinguish between legal and illegal substances, can make even a small margin of error add up to a huge number of false positives. In 1992, an estimated 22 million tests were administered. If 5% yielded false positive results (a low estimate), 1.1 million people could have been fired, or denied jobs because of a mistake.

Drug testing can be abused in many ways. In 1988, the Washington, D.C. Police Department admitted it used urine samples collected from drug tests to screen female employees for pregnancy, without their knowledge or consent.

Drug testing is a slippery slope. If we all sit idly by while this widely-accepted invasion of privacy continues unchallenged, then the genetic traits of you and your family will become the next accepted form of invasion used to discriminate.

Doctors as Bean Counters

Wouldn’t it be nice if doctors stood out of the way, let consumers shape health care reform, and take what they get? After all they are supposed to be serving us, the consumers, right? Not the other way around. And they are supposed to be healers, not social scientists or economists, or “bean counters,” as the President recently exclaimed.

It should go without saying that doctor’s and all health care provider’s care given, should remain the same in quality and quantity, and only be allowed to get better under any new health care reform. Democratically appointed boards or committees of health care representation should see to that, and I don’t doubt that’s what we’ll see when health care universality is complete.

“But we are speaking for our patients! That’s why we don’t want government run health care! For our patients!” Say the doctor’s opposed to change. Gibberish I say. The truth is a doctor in America knows that if he or she takes Medicare recipients, that there is a cap, or a “ceiling” on reimbursement that is far lower than what private insurance pays for its own customers. And that is the measure the doctor’s use to analogize a newer system created by government. And so they fear a money reduction. The answer to how much reimbursement lay somewhere in between. An average perhaps. That average would truly speak for the patients. And in only the interest of the patients, economists and social scientists, who should be the only one’s creating a universal health care system, would be speaking for the people – speaking only for the patients.

We want doctors to live above the average pay line, far above it. We want them to earn hundreds of thousands of dollars per year. We want them to have nice homes, multiple cars, country club memberships and exotic vacations. We don’t want doctors who earn millions. We don’t want them to grow used to mansions, limousines, second homes in foreign lands and luxury motor yachts and tax loopholes.