Kane Ryan M, Malik Vasanti S
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA.
College of Medicine, Medical University of South Carolina, Charleston, SC.
J Public Health Res. 2019 Apr 15;8(1):1466. doi: 10.4081/jphr.2019.1466. eCollection 2019 Mar 11.
Despite the growing global trend of sugar-sweetened beverage (SSB) taxes for their potential as an untapped source of revenue and as a public health boon, these legislative efforts remain controversial. Multiple articles have reviewed this trend in recent years from modeling of long-term impacts to short-term empirical studies, yet most comprehensive, long-term health impact assessments remain forthcoming. These multi-faceted efficacy studies combined with case-based assessments of the policy process, descriptive pieces highlighting unique features of the policy and reflective perspectives targeting unanswered questions create a comprehensive body of literature to help inform present and future legislative efforts. The passage of the Philadelphia Beverage tax required a mix of political entrepreneurs, timing and context; while uniquely employing a nonpublic health frame, specific earmarking and a broadened scope with the inclusion of diet beverages. This perspective on the Philadelphia Beverage Tax will describe the passage and novel features of the Philadelphia Beverage Tax with a discussion of the ethical questions unique to this case.
尽管全球对含糖饮料(SSB)征税的趋势日益增长,因其具有作为未开发收入来源和公共卫生福祉的潜力,但这些立法努力仍存在争议。近年来,多篇文章从长期影响建模到短期实证研究等方面对这一趋势进行了综述,但大多数全面、长期的健康影响评估仍有待开展。这些多方面的疗效研究,结合基于案例的政策过程评估、突出政策独特特征的描述性文章以及针对未解决问题的反思性观点,形成了一个全面的文献体系,有助于为当前和未来的立法努力提供信息。费城饮料税的通过需要政治企业家、时机和背景的结合;同时独特地采用了非公共卫生框架、特定的专款专用以及通过纳入低糖饮料扩大了范围。对费城饮料税的这一视角将描述其通过情况和新颖特征,并讨论该案例特有的伦理问题。