Rajagopal Selvi, Barnhill Anne, Sharfstein Joshua M
General Preventive Medicine Residency, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Berman Institute of Bioethics, Johns Hopkins University, Baltimore, USA.
Isr J Health Policy Res. 2018 Nov 20;7(1):68. doi: 10.1186/s13584-018-0264-6.
The global obesity pandemic has public advocates and policymakers grappling with the question of how best to respond. Among the various policy options, unhealthy food and beverage taxes have gained attention as a potentially effective intervention to reduce non-nutritive caloric intake, while raising government funds for health promotion programs at the community level. Yet in many countries, including in Israel, such proposals have not gained broad support. Cities in both United States and Mexico have found that taxes on sugar-sweetened beverages reduce consumption. Yet the food industry has successfully fought many such policies. Looking forward, those supporting taxation policies will need to provide clear evidence, a compelling use of funds raised, a convincing answer to industry claims, and attention to equity in implementation. With no easy fixes in sight to obesity, it is likely that taxes will remain viable - if contested - options for the foreseeable future.
全球肥胖流行问题让公众倡导者和政策制定者努力思考如何做出最佳应对。在各种政策选项中,不健康食品和饮料税作为一种潜在的有效干预措施受到关注,既能减少非营养性热量摄入,又能为社区层面的健康促进项目筹集政府资金。然而在包括以色列在内的许多国家,此类提议并未获得广泛支持。美国和墨西哥的城市都发现,对含糖饮料征税会减少消费量。但食品行业成功抵制了许多此类政策。展望未来,支持税收政策的人需要提供明确的证据、令人信服的资金使用方式、对行业主张的有力回应,以及对实施过程中公平性的关注。鉴于肥胖问题没有简单的解决办法,在可预见的未来,税收很可能仍是可行的——尽管存在争议——选项。