Bødker Malene, Pisinger Charlotta, Toft Ulla, Jørgensen Torben
Research Centre for Prevention and Health, Nordre Ringvej 57, Building 84/85, DK-2600 Glostrup, Denmark; Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, DK-1014 Copenhagen K, Denmark.
Research Centre for Prevention and Health, Nordre Ringvej 57, Building 84/85, DK-2600 Glostrup, Denmark.
Health Policy. 2015 Jun;119(6):737-42. doi: 10.1016/j.healthpol.2015.03.003. Epub 2015 Mar 14.
In 2011, Denmark introduced the world's first tax on saturated fat, but only 15 months later the fat tax was abolished. The aim of this article is to investigate the political processes surrounding the implementation and rapid abolition of the fat tax. Our findings suggest that industry and trade associations were heavily involved in the political process of formulating the fat tax. Industry representatives used certain tactics to oppose the fat tax: threatening lawsuits, predicting welfare losses, casting doubt on evidence, diverting focus and requesting postponement. After the fat tax was implemented, the food industry continued their opposition through intensified lobbyism and juridical actions at EU level. However, other factors seem to have contributed to the fall of the fat tax. The tax received criticism for being poorly designed and gradually lost popularity among health professionals, politicians and the public. In the end, the fat tax was abolished for financial reasons. This study demonstrates how politicians considered the fat tax as a funding source rather than a public health initiative, which resulted in significant shortcomings. Furthermore, we demonstrate that the massive influence by industry stakeholders was not balanced with inputs from public health professionals, who should assume a more proactive role in policy-making.
2011年,丹麦开征了世界上首个针对饱和脂肪的税种,但仅15个月后该脂肪税就被废除了。本文旨在探究围绕脂肪税实施及迅速废除的政治过程。我们的研究结果表明,行业和贸易协会深度参与了脂肪税的制定政治过程。行业代表采用了某些策略来反对脂肪税:威胁提起诉讼、预测福利损失、质疑证据、转移焦点以及要求推迟实施。脂肪税实施后,食品行业通过在欧盟层面加强游说和采取法律行动继续进行反对。然而,其他因素似乎也促成了脂肪税的废止。该税种因设计不佳而受到批评,并逐渐在健康专业人士、政治家和公众中失宠。最终,脂肪税因财政原因被废除。本研究表明,政治家们将脂肪税视为一种资金来源而非一项公共卫生举措,这导致了严重的缺陷。此外,我们证明行业利益相关者的巨大影响力并未与公共卫生专业人士的投入相平衡,而公共卫生专业人士在政策制定中应发挥更积极的作用。