The Annapolis hospital's new hiring policy might be controversial, but it is legal in Maryland and more than half of the United States. ... Anne Arundel Medical Center, like a growing number of health systems, universities and other businesses, will require a urine test for nicotine use for all applicants starting next July. The policy ... covers not only cigarettes, but cigars, pipes, snuff and e-cigarettes."

Long-time tobacco opponent Professor Simon Chapman, from Sydney University, said describing e-cigarettes as medicine was "Orwellian" and destructive to society.

What makes the Citizens Medical Center policy particularly ugly is that they justify it by arguing that their patients don't want to see obese people people it doesn't fit with their "mental projection" of a healthcare professional. That is simply disgusting. The same thing could have been said years ago (or maybe today) about certain other groups, such as black health care workers, LGBT workers, or Jewish workers.

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