102909 (Bill Ingram /The Palm Beach Post) West Palm Beach: Beatrice Heastie, phlebotomist at the Cleveland Clinic's new West Palm Beach primary care office Thursday in West Palm Beach. Every one of the employees at the Cleveland Clinic's new West Palm Beach primary care office is a non smoker. Every one is at a healthy weight or working on reaching a healthy weight. Every one gets an annual physical, too. Cleveland Clinic, which employs 40,000 people world wide, has concluded that health care reform starts at home. Cleveland Clinic is among a growing number of companies that are trying to lower health insurance costs by hitting workers' where it hurts, in their wallet, if they're not doing what's good for them.