Nevertheless, despite this absence of data, the threat of the UPPL has been substantiated by findings from a survey reporting that nearly 25 percent of surgeons sampled had seen a denial of insurance payment for substance use-related injuries within the previous six months of their practice (Gentilello et al., 2005).
Despite the reality of the UPPL, some may insist that current federal laws exist to protect individuals who have received substance abuse treatment services--as might be delivered in medical settings following substance use-related injuries.
The ratings also incorporate the relatively small size of UPPL's operations limiting economies of scale and intense competition faced in the business due to the presence of several unorganised players in the industry.
The rating is further constrained by low degree of awareness amongst customers, mainly corrugators, about quality aspects of paper, which is the value proposition of the UPPL and vulnerability of the margins to raw material price fluctuations and foreign exchange fluctuations due to large raw material imports.
But the existence of the UPPL
means that physicians who practice good medicine by screening and treating alcohol and drug abuse are denied payment, said Eric Goplerud, Ph.D., a George Washington University professor and director of Ensuring Solutions to Alcohol Problems.
Most were not sure whether the UPPL existed in their state but generally favored prohibiting alcohol-related exclusions in medical expense policies.
But the existence of the UPPL means that physicians who practice good medicine by screening and treating alcohol and drug abuse are denied payment, said Eric Goplerud, Ph.D., professor at the George Washington University in Washington and director of Ensuring Solutions to Alcohol Problems, a group that provides research information on effective alcohol treatment as a part of the university's medical center.
And UPPL claimed BBM's supply of beer and other drinks to one of its tied houses, The Cavalier, amounted to an 'actionable interference with the contract' it has with its tenant.
In June 2003, High Court judge Mr Justice Neuberger agreed and issued a temporary injunction against BBM, stopping the company from selling or promoting the sale of beers to UPPL's tied tenants.
A survey of all 50 States and the District of Columbia published in 2000 found that 38 States and the District of Columbia still had the UPPL
provisions in their insurance codes.