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Heavy Weight Sits on America's Future
By Rod Hirsch
Were Uncle Sam able to remedy one of America’s most
weighty issues with the stroke of his pen, he would
reach into the pockets of his red, white and blue
waistcoat, pull out a prescription pad and scribble
a common sense message to today’s younger generation
– eat sensibly, exercise regularly and put down the
remote!
Otherwise, lifelong health issues like heart
disease, diabetes and high cholesterol will have
lasting impact on your quality of life at home and
in the workplace – and you might not even live as
long as your parents.

That was the underlying message delivered to
students recently at the Healthy Leap into Summer
health fair hosted by the Elizabeth Board of
Education, Trinitas Regional Medical Center, the
U.S. Dept. of Health and Human Services (HHS) and
the Gateway Regional Chamber of Commerce at
Elizabeth High School.
The fair is the largest business/school/community
initiative in the country, according to Jim Coyle,
president of the Gateway Chamber. More than 50
vendors were on hand to distribute helpful
information about healthy lifestyles to more than
3,000 students.
Participants included: Trinitas; Horizon Blue
Cross/Blue Shield; AmeriHealth New Jersey; American
Cancer Society; Occupational Health & Safety
Administration; U.S. Army; American Heart
Association; Institute of Heath and Community
Education; Holy Redeemer Home Care; Northeast Spine
& Wellness Center in Clark; Alliance for a Healthier
Generation; Union County College and Rutgers
University; Union County Sheriff’s Office; and
Therapeutic Massage & Training Center in Westfield.
This is the third year the board of education,
chamber and their partners have been on the
offensive against childhood obesity, a growing
problem among America’s adolescents blamed on
everything from too much soda and fast food to an
obsession with television and video games.

Yet there are other more disturbing socioeconomic
issues at the root of the problem,
according to experts, such as parents who cannot
afford nutritious, fresh food or working parents who
do not have the time to shop for and prepare
nutritious food or supervise their children’s
activities.
Young Americans are beyond flirting with danger.
Statistics provided by a variety of medical sources
offer a disturbing assessment:
• One in three children in the United States –
roughly 25 million – are either obese or overweight.
• Four out of five overweight adolescents will
become overweight adults.
• The percentage of children and adolescents defined
as overweight has more than
doubled since the early 1970s.
• By current estimates, 86 percent of Americans will
be overweight and 51 percent obese by 2030.
The cost to the business community is staggering.
According to ShapingAmericasYouth.org:
• The annual healthcare cost of obesity in the U.S.
has doubled in less than a decade and is estimated
to now be as high as $147 billion dollars a year.
• Obesity costs U.S. businesses more than $13
billion annually in health insurance claims, paid
sick leave, disability and life insurance.
• Obesity costs a 1,000-employee company
approximately $285,000 per year.
The issue of obesity in young people has become so
daunting that it is impacting even the least
expected areas. The U.S. Army rejects seven out of
10 recruits, in part because of obesity, according
to Capt. Rafal Stachowski, commander of the Army
Recruiting Company stationed at Picatinny Arsenal.
At the fair army representatives challenged hundreds
of students to do pushups and pull-ups, with many
walking around the gym with GO Army t-shirts draped
around their necks.
“We turn away a lot of candidates because they are
overweight,” Stachowski said.
Obesity spawns a spectrum of issues and can have a
negative effect on every organ in the body. That has
a direct impact on the business community and
economy, according to Coyle, who said that the
habits that feed childhood obesity carry over into
adulthood and into the workplace.
Poor eating habits and a diet heavy in fatty foods
and sugar leads to sickness, absenteeism, lower
production and higher medical costs for company’s
that provide medical insurance to their workers,
according to Coyle. It also leads to increased
overtime for other workers and added pressure to get
the job done.
“People who are concerned about what they eat tend
to be more healthy and more productive; all these
things work together,” Coyle said. Those who are
better educated about healthy choices also become
better employees, he added.
Gathering the federal government, the health care
industry and educators under one roof helps send a
powerful message to the students, according to
Coyle.
Dr. Jaime Torres, regional director of the U.S.
Department of Health and Human Services, Region II,
told the students that when he left Puerto Rico to
attend Fordham University in 1976, he weighed 250
pounds, grossly overweight. His arrival on campus
was a turning point. “I made a commitment to be fit;
it was time to make a change in my life,” Torres
explained.
There is a renewed emphasis on intervention and
education on the federal level, with
First Lady Michelle Obama championing the cause. She
characterized obesity as an epidemic and one of the
greatest threats to America’s health and economy at
a meeting of the U.S. Conference of Mayors in
January, where she announced formation of the
Childhood Obesity Task Force.
The group in May issued a 124-page report and
blueprint to combat obesity, designed to involve the
federal government with state and local officials as
well as schools, non-profit organizations and others
to ensure more nutritious foods are served in
schools, encourage physical activity and make
families understand the importance of sitting down
and eating at home rather than grabbing fast food at
a drive-through restaurant.
The Elizabeth school district has embarked on an
aggressive intervention program, striving to educate
students and staff on the merits of a healthier
lifestyle, according to Superintendent Dr. Pablo
Munoz.
“We needy healthy kids, we need them to be gifted in
body and mind,” Munoz said.
“They tend to work together. High absenteeism
affects our ability to teach our children. “Having
this public/private partnership is crucial. It is
vital to emphasize to our students that this is
serious business.”
The Alliance for a Healthier Generation, a joint
endeavor of the William J. Clinton Foundation and
the American Heart Foundation, works nationally to
combat childhood obesity in schools, according to
Karen Buonocore, New Jersey relationship manager.
The organization started working with educators in
the Elizabeth school district last year, helping
schools to design programs that attack the core
problems of obesity. The effort is paying off. Seven
schools in the district have been recognized by the
Alliance with its Bronze Award for achieving their
goals designed to reverse obesity.
“There’s so much momentum, the folks in Elizabeth
are so passionate about wellness,” she said.
Nancy DiLiegro, vice president of Clinical Services
at Trinitas, said it is vital that parents and
children work together to break bad habits and alter
their routines.
“We’re busy, busy, busy, running around,” she said.
“A lot of families are in situations where there are
two working parents, there’s not enough time to cook
and prepare food, parents aren’t overseeing their
children’s activities, there’s a lack of oversight
and as a result kids are getting lazy and
overweight.
“This generation, these grammar and middle school
kids are probably going to die younger than their
parents because of the prevalence of childhood
obesity. Kids are heavier than ever and it’s getting
worse.”
Editor’s Note:
Obesity generally is
defined as being 20 pounds over one’s ideal weight
or a Body Mass Index of 30 or more, as defined by
the National Institutes of Health. The Centers for
Disease Control identifies a 5’9” male of more than
169 pounds as overweight and more than 203 pounds as
obese.
Top






Broadband’s Broad Appeal
Connects New Jersey
By Gina Diorio
Telephone line? Check. Dial tone? Check. Local
access number? Check. Connection? Well…
As recently as a few years ago, this was the typical
process of connecting to the Internet. Users
accepted as a necessary evil the seconds spent
staring at the computer screen hoping the “call”
went through. Fast-forward. Today most consumers
would not entertain the idea of waiting more than an
instant for Internet access. With broadband
technology, they do not have to.
The Federal Communications Commission (FCC)
describes broadband as “high-speed Internet access
that is always on and faster than the traditional
dial-up access.” More specifically, broadband
connections are “wired ‘lines’ or wireless
‘channels’ that enable the end user to receive
information from and/or send information to the
Internet at information transfer rates exceeding 200
kbps [kilobits per second] in at least one
direction.” Under the broadband umbrella are several
transmission technologies, including cable modem,
fiber, wireless, satellite and broadband over power
lines.
Whatever, Dude. As long as YouTube or CNN.com are
there at a click.
Not so fast. Despite the benefits of speed and
reliability, broadband use is not universal. Yet
each day broadband continues to further its inroads
into homes and communities.
In February the FCC issued a report on the status of
high-speed services for Internet access as of
December 31, 2008. At that time, 102 million
business and residential connections nationwide
transmitted at over 200 kbps in at least one
direction. By numbers alone, California led the way,
with 12.6 million individual broadband connections.
With a total of 3.5 million households and
businesses connected in New Jersey, the state ranked
eighth behind Texas, New York, Florida, Illinois,
Pennsylvania and Ohio.
When considering the ratio of broadband connections
to households only, however, New Jersey was among
the leaders. With 3.2 million households, New Jersey
had 2,408,000 broadband household connections, for a
subscriber ratio of 0.75. Only Massachusetts and New
Hampshire had greater ratios, at 0.76 each. By
comparison, the ratio of broadband connections to
households in neighboring New York, Pennsylvania and
Delaware stood at 0.72, 0.64, and 0.70,
respectively.
While broadband’s base qualification is a
transmission speed of 200 kbps, New Jersey’s
providers are taking the technology to the next
level. Comcast serves approximately 1.4 million
customers throughout New Jersey, including all of
South and Central New Jersey and as far north as
Jersey City and parts of Bergen County.
“One hundred percent of the footprint we serve has
access to broadband speed,” said Jeff Alexander,
vice president of public relations for Comcast
Eastern Division.
Additionally, all of Comcast’s New Jersey customers,
both residential and business, have access to the
company’s wideband service, which Alexander
describes as, “even more robust…than
broadband…[with] download speeds up to 50 mbps
[megabits per second].”
To put this speed in perspective, 50 mbps translates
into the ability to download a 6-GB high-definition
movie in approximately 16 minutes, a 2-GB
standard-definition movie in approximately five
minutes and a 300-MB standard definition television
show in just seconds.
Verizon also serves customers throughout the Garden
State, offering high-speed DSL (digital subscriber
line) connections and FiOS, a fiber-optic broadband
service that supports television, Internet and phone
use and provides connection speeds of up to 50 mbps
downstream. Approximately 1.7 million homes
statewide have access to FiOS.
“In New Jersey today, our FiOS network is in 349
communities,” said Dennis Bone, president of Verizon
New Jersey, adding that the company plans to expand
availability and is even now building its FiOS
network.
Bone noted the penetration rate for FiOS broadband
has been fairly close to expectations. Nationwide,
FiOS TV has seen a 25 percent penetration rate while
FiOS data services have seen an approximate 30
percent rate, meaning close to one of three
customers nationally to whom FiOS is available has
chosen to make the switch.
“We add hundreds of customers every week,” Bone
said.
Beyond TV and Internet, Verizon is building the next
generation of wireless network (“4G”), which will
provide broadband speed connections for mobile
users. This new network will be launched at the end
of this year to approximately 125 markets, including
New York and Philadelphia, which cover a large
portion of New Jersey.
Whether through Comcast, Verizon or another
broadband provider, more and more New Jerseyans are
enjoying better and faster Internet connectivity.
Yesterday’s dial tone has given way to instantaneous
connections. As companies continue to innovate and
expand their services, broadband technology will
keep improving. Some debate whether the need spurred
the technology or the technology created the need,
but on one point all sides can agree: with
broadband, instant, uninterrupted and high-speed
Internet access has become one necessity many simply
cannot live without.
Top
 

By Andy Gole

Not many salespeople realize they play jazz every
time they
effectively sell. Even if the prospect doesn’t hear
“Take the A Train” or “Rhapsody in Blue,” they are
hearing jazz nonetheless.
Why?
The essence of jazz is structure and improvisation.
The structure – the melody line, the interaction
between the musicians – is the spine that inspires
and permits the improvised solos and binds the music
together.
How does the salesperson emulate jazz? By
improvising around the standard sales call. The
standard sales call – the step-by-step procedure for
initiating, managing and closing the sale – is the
structure that frees the salesperson to improvise –
to express his personality yet remain in control.
Consider
the intellectual burden of tracking dozens of
strategic selling issues and simultaneously
expressing your personality – being real, even
entertaining, to the prospect.
These strategic issues include managing the three
fatal flaws in the selling process:
1.
Assuming the prospect enters the conversation with
serious intent
2.
Assuming the prospect believes what we say
3.
Assuming the prospect knows how to make a decision
As you maintain and manage this inventory of
strategic issues, you have to be spontaneous,
allowing your personality to flow.
It’s an almost impossible intellectual task without
a very well defined and implemented structure. So
most salespeople choose to be themselves and let
strategy “take care of itself.”
But selling, like nature, abhors a vacuum. If as
salespeople we abandon strategy and
structure, the buyer will cheerfully pick up
strategy and bludgeon salespeople to death with it.
There is a deeper sense in which we are all playing
jazz. The very essence of effective conversation
evokes jazz. When we begin a new thought, a new
sentence – either in discussion or when we write –
we typically don’t know where it will end.
Certainly, we don’t know the paragraph’s final
resting point. We improvise. We begin a thought and,
on the fly, scanning the possibilities, settle on a
direction.
As our sentences flow, they become more defined; we
anchor ourselves in the structure of language –
including grammar, syntax and meaning.
We have the potential to “play jazz” every time we
talk, every time we express ourselves. It takes
substantial practice to make this seem effortless.
The salesperson has the same potential. But he faces
longer odds. He’s not just in a
conversation. The salesperson is in a complex,
conflict-laden situation. The buyer wants quite a
bit more than someone who not only seems real but
who actually is a raconteur. The buyer wants to find
and break through the bottom of the market.
The salesperson must maintain his command of
strategy as he projects himself to the buyer as
real. The salesperson needs tremendous structure to
free him to be real. Theme and variation, structure
and improvisation. The salesperson needs jazz. So do
we all.
______________________________________________________________________
Andy Gole has taught selling skills for 14 years. He
started three businesses and has made approximately
4,000 sales calls, selling both B2B and B2C. He
invented a selling process, Urgency Based Selling®,
with which he can typically help companies double
their closing or conversion ratio. Learn more about
Andy’s method at www.bombadilllc.com or by calling
him at 201.415.3447.
Top



Inside Views
OSHA Gets Lost - Again
 As
a boy growing up in Denver in the 1960s, my father
had a small manufacturing plant where he made
camping trailers. He had abut 50 employees and he
built a good product.
One of my strongest memories of
my father’s business was his hostility toward a
newly created government agency, the Occupational
Safety and Health Administration, more commonly
known as OSHA. He abhorred the idea that some
government bureaucrat would be able to enter his
business at will and issue fines or otherwise tell
him how to run things. (My father still disdains
bureaucrats!)
This attitude was not uncommon
for business owners of all sizes throughout the
1970s and early 1980s. OSHA’s activities were
likened to a speed trap where an unscrupulous
policeman gives you a ticket for doing something you
didn’t even know was wrong. Avoidance and litigation
were common tactics to keep OSHA at bay.
By the early 1980s OSHA realized
that it was not having as dramatic of an impact on
workplace safety as it had hoped. Yes, they were
writing a lot of citations and collecting fines, but
the mindset of the workplace was not changing.
People continued to be as oblivious as ever. A
change in mindset, for both OSHA and the workplace,
was needed.
That change came in the form of
the Voluntary Protection Program (VPP) launched in
1982. This was a program based on cooperation and
collegiality rather than punishment. Frankly, it was
a brilliant idea. The collective brain power of both
sides (business and OSHA), rather than being used to
win an argument, was diverted to find the best
solution to a problem.
When business focused on
solutions, the realization also came that safety is
actually good for business because it cuts costs and
raises productivity. Fewer worker injuries mean
fewer lost days. Healthy employees are more
productive than injured ones. Plants that don’t blow
up stay open. And insurance costs drop when you make
fewer claims. Wow, what a great system!
In fact, it has been a great
system. The VPP program has led to important gains
in workplace safety. In our region in particular,
businesses have joined the program in record
numbers, and the Gateway Regional Chamber of
Commerce boasts more VPP Star sites, OSHA’s highest
safety designation, than any other region in the
country.
Alas, after all this success, the
Obama administration has decided to gut the program.
The focus of the new (or maybe reborn) OSHA is on
enforcement. Fines, fines, fines are what interest
the new leadership. Funding for VPP is being cut.
OSHA staff that ran the program are being reassigned
to enforcement activities. Companies in the program,
or those who want to get in, will now have to pay
for the VPP designation.
To make matters worse, OSHA is
violating the terms of the VPP program and
conducting audits of VPP sites, something that is
not supposed to happen. Since these sites are the
safest in the country, as certified by OSHA, any
piddling thing is cited. These spurious citations
are being challenged, and we are back to the old
system of argument and litigation rather than safety
improvement.
You have to feel for the OSHA
employees. They know that under the current regime
the only way to get promoted is to write citations.
After years of productive cooperative relationships,
they are being told that all their past success
means nothing.
It feels like “déjà vu all over
again.” We are lost in the 1970s.
James Coyle
President
Copyright James Coyle 2010
Top




The dust from the latest flare-up between Gov. Chris
Christie and the state’s teachers union over New
Jersey’s application for federal education funding
was as thick as if a thousand erasers had been
clapped.
A compromise between Education Secretary Bret
Schundler and the New Jersey Education Association (NJEA)
that would have watered down the governor’s
education reform principals in exchange for union
support of the state’s application for Race to the
Top funding was rejected by Christie, who then
submitted the application they way he wanted it
written. The governor dressed down his education
secretary and loudly proclaimed he would not back
down. The NJEA cried betrayal and withdrew its
support.
Missing in all the grandstanding and emotional
outbursts was a focus on the ultimate goal – the
students. In the end, it is the best interests of
New Jersey’s youth that is tantamount – not those of
the governor or the teachers union. And what is best
for the state’s young people, in the end, is best
for the state – including parents of those students,
the businesses that will one day employ them and the
society they will help shape in the very near
future.
That is why New Jersey is better off today running
the Race to the Top.
Race to the Top is the federal program established
by the Obama administration to help introduce
education reform at the state level, funded by the
American Recovery and Reinvestment Act. The program
makes available $4.35 billion in funding for states
that advance reforms around four specific areas:
standards and assessments; measuring student growth;
recruiting, rewarding and retaining effective
teachers and principals; and turning around
lowest-achieving schools.
While it would seem difficult to argue against the
positives of these core goals, a major component of
Race to the Top is the introduction of tying teacher
compensation, promotion and retention to measurable
student performance – merit pay.
This is the rub – or to the NJEA, the sound of nails
on the chalkboard. The NJEA is adamantly opposed to
merit pay, claiming it will undermine teacher
commitment to education by rewarding them for simply
passing students. That is debatable, particularly if
teachers chose their careers due to their love of
teaching, as so many claim.
What merit pay certainly will undermine is the
current system of paying, promoting and retaining
teachers based not on performance but instead on
longevity and tenure. Christie has introduced an
education reform strategy that includes: basing
teacher pay and raises to a large extent (but not
exclusively) on measurable student performance;
placing greater emphasis on performance rather than
tenure for promotion and in the event of layoffs;
identifying and implementing the best teacher
training programs; and financially rewarding strong
performing principals who relocate to low-performing
schools.
While it has been popular to criticize the governor
for being a maverick, it should be noted that on
this issue he is in step with the Obama
administration; that his application proposal was
unanimously approved by both houses of the
Legislature; and that there is a growing movement
across the nation toward merit pay for teachers.
At the time New Jersey submitted its application for
Race to the Top funding – including merit pay and
tenure reform – 12 states also had either passed or
were working on legislation introducing
performance-based compensation for teachers. Of
those 12, all but two also applied for this year’s
funding and are in competition with New Jersey. The
two merit-pay states that did not apply – Tennessee
and Delaware – already received Race to the Top
funding in 2009.
The NJEA may see the writing on the chalkboard but
seems intent on holding back the tide and protecting
its turf. In the compromise worked out between the
union and Schundler, the governor’s plan for merit
pay was scrapped and replaced with a trial program.
That did not pass Christie’s test, nor should it
have.
New Jersey is the second-ranked state in the nation
in spending per student. The state’s taxpayers have
a right to measure how well their money is being
spent. While it is true that New Jersey’s overall
student performance is strong, there still are many
low-performing schools and students not receiving
the benefits of one of the nation’s best school
systems.
In addition, as New Jersey fights to recover from
the recession and its own budgetary
mismanagement, the state must fiercely protect one
of its finest resources – the quality of an educated
workforce.
That would be the students in today’s classrooms who
will benefit from a successful bid for Race to the
Top funding.
Top




Commissioner Poonam Alaigh,
MD,
MSHCPM, FACP,
Dept.
Health and Senior Services
Promoting Healthy Lifestyles
This country is facing an obesity epidemic that is
harming the well-being of our children. If we do not
promote changes in how people eat and exercise and
if we do not provide resources to help people eat
better and exercise more, today’s children may be
the first generation in our history to live shorter
and less healthy lives than their parents.
The statistics are alarming. Obesity among
adolescents has tripled in the U.S. in the past 30
years. As a result of insufficient exercise and poor
nutrition habits, 31 percent of New Jersey children
between the ages of 10 to 17 are overweight or
obese.
Nationwide, less than one-third of children ages 6
to 17 engage in vigorous daily activity, defined as
at least 20 minutes a day of activity that makes a
child sweat and breathe hard. Fewer than 30 percent
of New Jersey youth meet this standard, according to
data published by the Robert Wood Johnson Foundation
in 2009.
We must implement strategies that will change our
country’s approach to physical activity and
nutrition by simultaneously targeting individuals,
neighborhoods and communities. Increasing the
availability of affordable fruits and vegetables and
other nutritious foods in our schools and
communities as alternatives to fatty, sugary foods
and sugar-sweetened beverages is one part of the
process. These soft drinks comprise the largest
single source of calories in the U.S. diet.
Twenty percent of New Jersey high school students
drink one or more sugar-sweetened beverages every
day, according to the New Jersey Department of
Education’s (DOE) 2009 New Jersey Student Health
Survey.
In addition, we need to provide greater access to
high quality physical activity programs, safe
neighborhood parks and playgrounds and active
alternatives to TV and other screen time. That same
DOE survey reported that one-third of New Jersey
high school students spend five or more hours on an
average school day viewing television, video games
or the Internet for reasons other than school work.
A January 2010 Kaiser Family Foundation national
study found that 8- to 18-year-olds devote an
average of 7½ hours (more than 53 hours a week) to
using entertainment media during a typical day.
Media use increases substantially when children hit
the 11-14 age group. This sedentary behavior is
associated with obesity.
Efforts to prevent obesity must start with very
young children, including infants and pre-schoolers.
Almost one third of U.S. children over 2 years of
age are already overweight or obese, according to
the 2007-2008 National Health and Nutrition
Examination Survey.
Of 40 states that report obesity data among
low-income 2- to 5-year-olds, New Jersey had one of
the highest rates at nearly 18 percent, according to
the New Jersey Pediatric Nutrition Surveillance
System in 2008.
To address all these needs, New Jersey is
implementing a statewide strategic plan through
ShapingNJ, a partnership of 76 health, education,
agriculture, transportation, parks and recreation,
and business organizations. The Department’s Office
of Nutrition and Fitness established the partnership
in 2008 through a five-year $4.1 million grant from
the Centers for Disease Control and Prevention (CDC)
designed to focus on the CDC’s six health and
fitness goals of families and children of all ages.
The grant directs the state to concentrate on
schools, communities, worksites, health care
facilities and child care centers.
Legislation to combat obesity is also being enacted
in New Jersey. In January 2010, the state passed a
law requiring food chains with 20 or more locations
nationally to provide calorie counts for food and
beverages. The law will take effect in 2011.
As a society we must coordinate efforts in these
difficult economic times to maximize resources that
will improve our children’s health. Obesity is a
major contributor to escalating health care costs in
this country. To reduce the economic burden on New
Jersey’s health care system, we must reverse the
trend in childhood obesity, which contributes to
diabetes, heart disease, some cancers and other
chronic diseases. We need to do everything we can to
help our children grow into healthy adults.
Top




By Art Guarino
Today there is an unprecedented epidemic of obese
and overweight individuals. The health implications
are staggering and for businesses there are
increased health care costs, lost productivity and
difficulty in replacing workers. While businesses
and government are taking action, more must be done.
According to a National Health and Nutrition
Examination Survey, approximately two-thirds of
American adults are overweight, while nearly
one-third are obese. This phenomenon has increased
over time and affects people of every age, racial
and ethnic background and education level.
Obesity has devastating health complications since
it is associated with depression, diabetes, stroke,
hypertension and coronary heart disease. Studies
show that obesity increases the risk of death by 10
to 50 percent from all causes and is responsible for
approximately 112,000 additional deaths versus
normal weight individuals.
While the human implications of obesity are
devastating, its economic consequences are
staggering. These consequences are categorized by
direct costs – diagnostic, preventative and
treatment services – and indirect costs involving
lost wages due to illness or disability, and loss of
future earnings from early death.
A Surgeon General’s report stated that, nationally,
direct costs of obesity were $61 billion, while
indirect costs were $56 billion, totaling $117
billion. Tied into these costs are other
obesity-related illnesses:
• The direct cost of heart disease: $8.8 billion
• The total cost of Type 2 diabetes: $98 billion
• The direct cost of high blood pressure: $4.1
billion
• The total cost of colon cancer: $3.5 billion
The economic and financial impact on New Jersey is
high. A Behavioral Risk Factor Surveillance System
study shows that approximately 5.5 percent of New
Jersey adults are obese, costing the state more than
$2.3 billion annually. The same study places annual
obesity-attributable direct Medicare costs at $591
million and Medicaid direct costs at $630 million.
Compounding this situation is that
obesity-attributable inpatient and outpatient costs
are increasing at 36 percent per year, while
prescription costs increase 77 percent yearly.
While obesity has a serious impact on physical
health, it also hurts businesses. On a national
scale, obese employees impact employer’s health
insurance rates, increase absenteeism and
substantially decrease productivity. Recent
statistics show that annual business costs due to
obesity-related lost productivity are $3.9 billion,
including:
• Workdays lost: $39.3 million
• Physician office visits: $62.7 million
• Restrictive activity days: $239.0 million
• Bed-days: $89.5 million
Obesity-related absenteeism is high: men with normal
weight miss an average of three work days per year
while men who are 60 or more pounds overweight miss
five days. For women the situation is worse. Those
with normal weight miss approximately 3.4 days per
year, while obese women miss 5.2 days a year and
those who are extremely obese miss 8.2 days.
Overall, obese employees are almost 75 percent most
likely to be absent seven or more days in a
six-month period than normal weight workers. In New
Jersey, obesity and obesity-related illnesses have
contributed to increased health insurance costs. For
example, the state’s direct and indirect costs that
are associated with lost productivity and medical
care attributable to diabetes are approximately $5.9
billion yearly.
America’s obesity problem is dire and getting worse.
More Americans are overweight and everyone will feel
the economic consequences. Government and industry
must coordinate their efforts to change personal
behavior or obesity will be a way of life, not a
medical exception. Given present trends, obesity
will reduce productivity, divert resources vital for
other uses and deter America’s long-term economic
growth prospects.
A rt
Guarino is a finance instructor at the Rutgers
Business School, Rutgers University. He can reached
at
Arthur.Guarino@hotmail.com.
Top






Therapeutic Massage & Training Center (TMTC) of
Westfield announced that one of its graduates
recently was named 2009 Regional Massage Therapist
of the Year for New Jersey by massage and spa chain
Massage Envy Spa. Nicole Brunetto of Fanwood
graduated TMTC in 2007 and works in the Warren
Massage Envy facility. TMTC offers a 10-month
massage therapist certification program with day and
evening classes that start each March and September.
_______________________________________________
The Irish Business Association (IBA) recently
honored its 2010 winners at its second
Annual Awards Dinner. Denis Connell, Clark chief of
police, was named Man of the Year; Kate Conroy, vice
president of the Gateway Regional Chamber of
Commerce, was honored as Woman of the Year; Business
of the Year honors went to Red Flannel Group of
Freehold.
Connell was named chief of police of the Clark
Police Department in January 2008 after 34 years
with the force. Conroy has been with the Gateway
Chamber for six
years, starting with the organization as assistant
to the president and being named vice president in
2006. Red Flannel Group is a full-service design and
communications firm specializing in the development
of branding, corporate identity, annual reports,
packaging, corporate and product literature,
publications, graphic design and advertising
services. Bob Flanagan of Red Flannel Group
Bob Flanagan of Red Flannel Group
_______________________________________________
Community Access Unlimited (CAU) recently celebrated
the accomplishments and achievements of members,
staff and community supporters at the agency’s 26th
Annual Awards Night Celebration. CAU supports people
with disabilities and at-risk youth. The agency
honored eight community partners – businesses,
organizations and public agencies – that support CAU
and its members throughout the year. Community
Partners honored included: Hillcrest Academy-South,
the Elizabeth Police Department, Union Avenue
Pharmacy, Five Star Medical Day Care, the New Jersey
Department of Community Affairs, Trinity Pediatrics,
the New Jersey Division of Developmental
Disabilities and Union County Savings Bank.
_______________________________________________
Infineum USA L.P. recently was honored for
supporting employees who serve in the NJ National
Guard and Reserve. Recognition consisted of a “My
Boss is a Patriot” award and an American flag
presented by the New Jersey Committee for Employer
Support of the Guard and Reserve, an agency of the
Department of Defense. The flag was carried during a
combat mission over Iraq by Chief Warrant Officer
Anthony Giano, an Infineum employee who is a member
of the 1st Battalion 150th Aviation Regiment Task
Force Vandal. Giano served a third tour in Iraq from
December 2008 to April 2010 and nominated Infineum
and his manager for the outstanding support provided
to him and his family during the time he was
deployed.
_______________________________________________
Members of Fazio, Mannuzza, Roche, Tankel, LaPilusa,
LLC, of Cranford (FMRTL), recently participated in
their 5th Annual Relay for Life Jean Day, wearing
denim and purple shirts supporting a Cancer
Survivor. The firm hosted a healthy breakfast and a
FIGHT BACK Raffle in exchange for donations toward
cancer research. FMRTL was a proud Closing Ceremony
Sponsor at the Cranford Relay for Life.



Employers Considering Termination
Following An Extended Medical Leave of Absence
Should Take Caution
By John Schmidt, Jr. & Kathleen Connelly
Two recent decisions from the United States District
Court for New Jersey illustrate the difficulties
confronting employers considering the termination of
an employee during an extended medical leave of
absence. In each case, the key question before the
courts was the scope of the obligation imposed on
employers by the New Jersey Law Against
Discrimination (LAD) and the Federal Americans with
Disabilities Act (ADA) to engage in an “interactive
process” with disabled employees to identify
reasonable accommodations that must be considered
prior to termination.
In both cases, the court concluded that the employer
violated the rights of the disabled employee by
terminating their employment during a medical leave
of absence before fully exploring alternative
accommodations.
The Decisions
In Brown v. Dunbar Armored, Inc., Ronald
Brown claimed his employer violated the LAD by
failing to engage in the interactive process prior
to terminating his employment after he fully
exhausted his 12-week leave entitlement under the
Family Medical Leave Act (FMLA). Brown was placed on
an FMLA medical leave following coronary bypass
surgery.
Following 10 weeks of leave, Brown’s physician
indicated he could return to “light duty.” Brown
claims he requested to return to work on light duty
until he was able to return to full duty. The
employer rejected Brown’s request and terminated his
employment during the 13th week of his medical
leave. The employer maintained that Brown did not
request an extension of his medical leave and was
terminated when his protected leave under the FMLA
was exhausted. On the same day Brown was terminated,
his physician reiterated that Brown could return to
light duty and estimated a return to full duty five
weeks later, two months after his 12-week FMLA leave
entitlement expired.
The court concluded that the employer did not engage
in the interactive process with Brown in good faith
prior to terminating his employment. The court
observed that the LAD requires employers to initiate
the interactive process with the employee to
“identify the potential reasonable accommodation
that could be adopted to overcome the employee’s
precise limitations resulting from the disability.”
The court concluded that Brown’s request for light
duty work, even if unreasonable¹, triggered the
employer’s duty to engage in the interactive process
to determine if reasonable accommodation could be
made.
Moreover, although the employer did not have a date
certain when Brown could resume full duties when it
made the termination decision, it was not excused
from considering the possibility of a temporary
leave of absence as a form of reasonable
accommodation where, as here, the employer was
provided with a general estimated date when Brown
would be fit to return. The court cautioned that if
an employer “chooses not to engage in this process,
it proceeds at its own risk.”
In Ellis v. Ethicon, Ellis likewise charged
her employer with failing to engage in the
interactive process required by the ADA. Ellis had
an initial nine-month medical leave for cervical
strain and one-and-one-half years later was placed
on a second leave for related reasons.
Six months into the second medical leave, one of
Ellis’ treating physicians recommended that she be
permitted to work three days a week from home and
provided the employer with a detailed, gradual
return to work plan. Shortly thereafter, another of
Ellis’ physicians recommended that these
accommodations be maintained “indefinitely.”
Believing that Ellis’ work-from-home restrictions
were permanent, the employer rejected the
recommendations as unreasonable and offered Ellis a
part-time position. Ellis rejected that offer and
requested a meeting with her employer and her doctor
to “iron out accommodations.”
The employer declined to meet and instructed Ellis
to secure revised accommodations from her physician
before it would engage in further discussion. Ellis
did not submit revised accommodations and was
terminated in the seventh month of her medical
leave.
At trial, the jury found that the employer engaged
in the interactive process in bad faith, rejecting
its argument that the process was discontinued when
Ellis failed to provide revised accommodations from
her physician. On reconsideration of the verdict,
the court observed that once an employee has
requested accommodation, the employer is obligated
to undertake all reasonable efforts to identify
reasonable accommodation through “a flexible,
interactive process that involves both the employer
and the employee.”
The court faulted the employer for rejecting Ellis’s
work-from-home proposal without seeking further
explanation about whether her physician’s
recommendation of an “indefinite” accommodation
meant that it was to be maintained permanently. In
fact, at trial the physician testified that the
recommendation was not permanent in nature when it
was proposed. Moreover, Ellis’ supervisor testified
that she would have considered permitting Ellis to
work at home had she known that this would be a
temporary, not permanent, accommodation.
The court also faulted the employer for failing to
explore other alternative accommodations once Ellis
rejected the offer of a part-time position. As a
result, the court concurred with the jury, finding
that the employer acted in bad faith during the
interactive process.
The Take-Away
Employers are not necessarily free to terminate
employees at the exhaustion of an employee’s
FMLA leave entitlement. They must engage in a
good-faith interactive process with the employee to
determine what, if any, accommodations can be made
to enable the employee to return to work. This
process may include consideration of whether the
employee can return to work with an additional,
temporary leave of absence and whether that leave
can be reasonably accommodated.
It may also include an obligation to make further
inquiry to the employee’s physician to clarify the
duration of any recommended accommodations.
Only after engaging in this process, exploring
alternative accommodations and finding the
accommodations unreasonable should the employer
consider terminating the employee. The employer
cannot point to the employee’s failure to provide
alternative accommodation proposals as an
opportunity to “pull the plug” on the interactive
process.
The courts continue to find room to place added
burdens on employers when it comes to protection of
employee rights. Employers that fail to heed these
burdens “proceed at their own risk.”
John Schmidt, Jr., and Kathleen Connelly are
attorneys at Lindabury, McCormick, Estabrook &
Cooper, P.C.. Schmidt can be reached at jschmidt@lindabury.com
and Connelly can be reached at
kconnelly@lindabury.com.
¹To date, the courts have generally held that an
employer is not obligated to create a light duty
position for the employee as a form of reasonable
accommodation, but must consider the employee for
any pre-existing light duty position for which
he/she is qualified.





















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