Health
Smokers Have Better Luck Quitting When Own Money Wagered

In a study released Wednesday, May 13, 2015, smokers with $150 of their own money at stake were far more likely to quit than smokers who didnt have to wager their money to get cash rewards. (AP Photo/Carolyn Kaster)
Mike Stobbe, ASSOCIATED PRESS
NEW YORK (AP) — When it comes to offering cash to get smokers to quit, more people go for the carrots than the stick — but the stick gets better results.
In a study released Wednesday, smokers with $150 of their own money at stake were far more likely to quit than smokers who didn’t have to wager their money to get the cash rewards.
“A bit of a stick was much better than pure carrot,” said the study’s lead author, Dr. Scott Halpern of the University of Pennsylvania.
But here’s the catch: Few people were willing to bet on themselves. Nearly everyone who was offered the rewards-only option, though, signed up for a stop smoking program.
As employers try to hold down health care costs, growing numbers of them have been using financial incentives to encourage workers to quit smoking or get healthier in other ways. But there’s been relatively little research on what works best, said senior author Dr. Kevin Volpp.
The Penn researchers collaborated with CVS Health, the second largest U.S. drugstore operator, for the study. About 2,500 smokers took part — CVS employees, their relatives or friends.
THE INCENTIVES
Past research has found money is persuasive. Volpp and his colleagues tried to see what difference it made if employees stood not only to win money for quitting, but also to lose money.
About 1,000 smokers were offered the chance to win up to $800 if they could quit for six months. Participation was high — about 90 percent signed up.
Another 1,000 were asked to put $150 down as a deposit. It they quit for six months, they would get their $150 back plus $650 — a total of $800. Only 14 percent took that offer.
Another group of about 500 were offered no cash incentive, but did get the company’s standard offering of counseling and nicotine replacement therapy.
THE OUTCOME
The few that put in their own money were a committed bunch. About half of them made it six months without a cigarette. That was a much better than the 17 percent of the rewards-only group that made it to the finish line.
But there were so many people in the rewards-only program that the actual number who quit in that group was much higher — 156, compared to 78.
Only 28 of the people offered no cash incentives quit — a measly 6 percent.
To get the largest number of people to stop, “it looks like the better bet might be for employers to supply pure reward,” said Cliff Douglas, the American Cancer Society’s vice president for tobacco control. He was not involved in the research.
The study was published in Thursday’s New England Journal of Medicine.
TOO-HIGH STAKES
The study’s authors say there’s a compelling story in the success rate for the smokers who had money on the line. But they also say the $150 deposit apparently scared many away.
One participant, Camelia Escarcego of Rialto, California, said she is unemployed and wouldn’t have been able to come up with the deposit. Her sister works for CVS and Escarcego ended up in the rewards-only group.
A 12-year smoker, Escarcego, 55, said the hundreds of dollars was enough motivation.
“That helped me to have a little bit of money in my pocket,” she said.
Next month, CVS is to launch a quit smoking program for its 200,000 employees that will require a lower deposit of $50 and will award $700 to those who quit for a year.
___
Online:
Journal: http://www.nejm.org.
Copyright 2015 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
###
Activism
OPINION: Your Voice and Vote Impact the Quality of Your Health Care
One of the most dangerous developments we’re seeing now? Deep federal cuts are being proposed to Medicaid, the life-saving health insurance program that covers nearly 80 million lower-income individuals nationwide. That is approximately 15 million Californians and about 1 million of the state’s nearly 3 million Black Californians who are at risk of losing their healthcare.

By Rhonda M. Smith, Special to California Black Media Partners
Shortly after last year’s election, I hopped into a Lyft and struck up a conversation with the driver. As we talked, the topic inevitably turned to politics. He confidently told me that he didn’t vote — not because he supported Donald Trump, but because he didn’t like Kamala Harris’ résumé. When I asked what exactly he didn’t like, he couldn’t specifically articulate his dislike or point to anything specific. In his words, he “just didn’t like her résumé.”
That moment really hit hard for me. As a Black woman, I’ve lived through enough election cycles to recognize how often uncertainty, misinformation, or political apathy keep people from voting, especially Black voters whose voices are historically left out of the conversation and whose health, economic security, and opportunities are directly impacted by the individual elected to office, and the legislative branches and political parties that push forth their agenda.
That conversation with the Lyft driver reflects a troubling surge in fear-driven politics across our country. We’ve seen White House executive orders gut federal programs meant to help our most vulnerable populations and policies that systematically exclude or harm Black and underserved communities.
One of the most dangerous developments we’re seeing now? Deep federal cuts are being proposed to Medicaid, the life-saving health insurance program that covers nearly 80 million lower-income individuals nationwide. That is approximately 15 million Californians and about 1 million of the state’s nearly 3 million Black Californians who are at risk of losing their healthcare.
Medicaid, called Medi-Cal in California, doesn’t just cover care. It protects individuals and families from medical debt, keeps rural hospitals open, creates jobs, and helps our communities thrive. Simply put; Medicaid is a lifeline for 1 in 5 Black Americans. For many, it’s the only thing standing between them and a medical emergency they can’t afford, especially with the skyrocketing costs of health care. The proposed cuts mean up to 7.2 million Black Americans could lose their healthcare coverage, making it harder for them to receive timely, life-saving care. Cuts to Medicaid would also result in fewer prenatal visits, delayed cancer screenings, unfilled prescriptions, and closures of community clinics. When healthcare is inaccessible or unaffordable, it doesn’t just harm individuals, it weakens entire communities and widens inequities.
The reality is Black Americans already face disproportionately higher rates of poorer health outcomes. Our life expectancy is nearly five years shorter in comparison to White Americans. Black pregnant people are 3.6 times more likely to die during pregnancy or postpartum than their white counterparts.
These policies don’t happen in a vacuum. They are determined by who holds power and who shows up to vote. Showing up amplifies our voices. Taking action and exercising our right to vote is how we express our power.
I urge you to start today. Call your representatives, on both sides of the aisle, and demand they protect Medicaid (Medi-Cal), the Affordable Care Act (Covered CA), and access to food assistance programs, maternal health resources, mental health services, and protect our basic freedoms and human rights. Stay informed, talk to your neighbors and register to vote.
About the Author
Rhonda M. Smith is the Executive Director of the California Black Health Network, a statewide nonprofit dedicated to advancing health equity for all Black Californians.
Activism
OPINION: Supreme Court Case Highlights Clash Between Parental Rights and Progressive Indoctrination
At the center of this controversy are some parents from Montgomery County in Maryland, who assert a fundamental principle: the right to shield their children from exposure to sexual content that is inappropriate for their age, while also steering their moral and ethical upbringing in alignment with their faith. The local school board decided to introduce a curriculum that includes LGBTQ+ themes — often embracing controversial discussions of human sexuality and gender identity.

By Craig J. DeLuz, Special to California Black Media Partners
In America’s schools, the tension between parental rights and learning curricula has created a contentious battlefield.
In this debate, it is essential to recognize that parents are, first and foremost, their children’s primary educators. When they send their children to school — public or private — they do not surrender their rights or responsibilities. Yet, the education establishment has been increasingly encroaching on this vital paradigm.
A case recently argued before the Supreme Court regarding Maryland parents’ rights to opt out of lessons that infringe upon their religious beliefs epitomizes this growing conflict. This case, Mahmoud v. Taylor, is not simply about retreating from progressive educational mandates. It is fundamentally a defense of First Amendment rights, a defense of parents’ rights to be parents.
At the center of this controversy are some parents from Montgomery County in Maryland, who assert a fundamental principle: the right to shield their children from exposure to sexual content that is inappropriate for their age, while also steering their moral and ethical upbringing in alignment with their faith. The local school board decided to introduce a curriculum that includes LGBTQ+ themes, often embracing controversial discussions of human sexuality and gender identity. The parents argue that the subject matter is age-inappropriate, and the school board does not give parents the option to withdraw their children when those lessons are taught.
This case raises profound questions about the role of public education in a democratic society. In their fervent quest for inclusivity, some educators seem to have overlooked an essential truth: that the promotion of inclusivity should never infringe upon parental rights and the deeply held convictions that guide families of different faith backgrounds.
This matter goes well beyond mere exposure. It veers into indoctrination when children are repeatedly confronted with concepts that clash with their family values.
“I don’t think anybody can read that and say: well, this is just telling children that there are occasions when men marry other men,” noted Justice Samuel Alito. “It has a clear moral message, and it may be a good message. It’s just a message that a lot of religious people disagree with.”
Justice Amy Coney Barrett raised a crucial point, noting that it is one thing to merely expose students to diverse ideas; it is quite another to present certain viewpoints as indisputable truths. By framing an ideology with the certainty of “this is the right view of the world,” educators risk indoctrination rather than enlightenment. This distinction is not merely academic; it speaks to the very essence of cultivating a truly informed citizenry.
Even Justice Elena Kagan expressed concern regarding the exposure of young children to certain materials in Montgomery County.
“I, too, was struck by these young kids’ picture books and, on matters concerning sexuality, I suspect there are a lot of non-religious parents who weren’t all that thrilled about this,” she said.
Justice John Roberts aptly questioned the practicality of expecting young children to compartmentalize their beliefs in the classroom.
“It is unreasonable to expect five-year-olds, still forming their worldviews, to reconcile lessons that conflict fundamentally with the teachings they receive at home,” he said.
As was noted in my previous commentary, “The Hidden Truth In The Battle Over Books In American Schools”, what lies at the heart of these debates is a moral disconnect between the values held by the majority of Americans and those promoted by the educational establishment. While the majority rightly argue that material containing controversial content of a sexual nature should have no place in our children’s classrooms, the education establishment continues to tout the necessity of exposing children to such content under the guise of inclusivity. This disregards the legitimate values held by the wider community.
Highlighted in this case that is before the Supreme Court is a crucial truth: parents must resolutely maintain their right to direct their children’s education, according to their values. This struggle is not simply a skirmish; it reflects a broader movement aimed at reshaping education by privileging a state-sanctioned narrative while marginalizing dissenting voices.
It is imperative that we assert, without hesitation, that parents are — and must remain — the primary educators of their children.
When parents enroll a child in a school, it should in no way be interpreted as a relinquishment of parental authority or the moral guidance essential to their upbringing. We must stand firm in defending parental rights against the encroaching ideologies of the education establishment.
About the Author
Craig J. DeLuz has almost 30 years of experience in public policy and advocacy. He has served as a member of The Robla School District Board of Trustees for over 20 years. He also currently hosts a daily news and commentary show called “The RUNDOWN.” You can follow him on X at @CraigDeLuz.
Activism
California Observes Third Annual Black Health Advocacy Week
On May 4, 2023, the California Assembly unanimously passed ACR 53, enacting BHEAW every first week of May. “The life expectancy at birth for Black Californians is 76.2 years of age, which is five years shorter than the state average and the lowest life expectancy of all racial and ethnic groups in California,” said Weber in a statement.

By Bo Tefu, California Black Media
California’s third annual Black Health Equity Advocacy Week (BHEAW), observed from May 5-9, reaffirmed the commitment of the state and advocates to address systemic health disparities affecting Black communities.
Assemblymember Akilah Weber (D-San Diego), who is a medical doctor and chair of the California Legislative Black Caucus (CLBC), authored the resolution that created BHEAW — the first statewide initiative of its kind focused on advancing Black health equity.
On May 4, 2023, the California Assembly unanimously passed ACR 53, enacting BHEAW every first week of May.
“The life expectancy at birth for Black Californians is 76.2 years of age, which is five years shorter than the state average and the lowest life expectancy of all racial and ethnic groups in California,” said Weber in a statement.
“This disparity is a stark reminder of the systemic and institutional factors that contribute to health inequities in communities of color,” she added.
The California Black Health Network (CBHN) led this year’s events, combining advocacy, training, and public engagement to amplify the urgency of closing health gaps for Black Californians.
The theme of this year’s observance was “We’ve Got the Power.”
“CBHN is calling on our community to step up, speak out, and get involved. Increasing the participation of Black Californians in policymaking — across the health industry and public sector — is one of the most powerful ways we can drive change and save lives,” reads a message from the organization promoting this year’s BHEAW.
“Policy change is within your power and this week we’re in Sacramento with our Health Equity Advocacy Training (HEAT) Program Cohort 3 to uplift issues impacting our community and advocate to help shape the policies and programs that will improve the health of current and future generations of Black Californians,” the message continued.
Focused on public awareness and information, this year’s BHEAW included a social media campaign, a rally and training program with vital information on medical conditions that have a disproportionate impact on Black Californians, including maternal mortality, mental health, diabetes, cancer and more.
For more information on the resolution or to join the movement, visit CBHN’s official site, www.cablackhealthnetwork.org.
-
Activism4 weeks ago
AI Is Reshaping Black Healthcare: Promise, Peril, and the Push for Improved Results in California
-
Activism4 weeks ago
Barbara Lee Accepts Victory With “Responsibility, Humility and Love”
-
Activism4 weeks ago
ESSAY: Technology and Medicine, a Primary Care Point of View
-
Activism4 weeks ago
Newsom Fights Back as AmeriCorps Shutdown Threatens Vital Services in Black Communities
-
Activism4 weeks ago
Faces Around the Bay: Author Karen Lewis Took the ‘Detour to Straight Street’
-
Arts and Culture4 weeks ago
BOOK REVIEW: Love, Rita: An American Story of Sisterhood, Joy, Loss, and Legacy
-
#NNPA BlackPress4 weeks ago
The RESISTANCE – FREEDOM NOW
-
Alameda County4 weeks ago
OUSD Supt. Chief Kyla Johnson-Trammell to Step Down on July 1