Institute for Health Research and Policy, University of Illinois Chicago, 1747 West Roosevelt Road, Chicago, Illinois, 60608, United States of America.
Menzies Centre for Health Policy and Economics, School of Public Health, Charles Perkins Centre, University of Sydney, Sydney, Australia.
Bull World Health Organ. 2022 Sep 1;100(9):570-577. doi: 10.2471/BLT.22.288104. Epub 2022 Jun 30.
The World Health Organization recommends economic measures such as taxes on tobacco, alcohol and unhealthy foods and beverages as part of a comprehensive strategy for prevention of noncommunicable diseases. However, progress in adopting these so-called health taxes has been hampered, in part, by different approaches and perceptions of key issues in different sectors of government. Health promotion is the responsibility of health policy-makers, while taxation is the mandate of finance ministries. Thus, strengthening cooperation between health and finance policy-makers is central to the successful adoption and implementation of effective health taxes. In this paper we identify the shared concerns of finance and health policy-makers about health taxes with the aim of enabling more effective cross-sector cooperation towards both additional financing for health systems and changes in unhealthy behaviours. For example, new approaches to supporting health taxation include the growing priority for health-system financing due to the growing burden of noncommunicable diseases, and the need to address the health and economic damage due to the coronavirus disease 2019 pandemic. As a result, high-level efforts to achieve progress on health taxes are gaining momentum and represent important progress towards using the combined expertise of health and finance policy-makers.
世界卫生组织建议采取经济措施,如对烟草、酒精和不健康的食品和饮料征税,作为预防非传染性疾病综合战略的一部分。然而,由于政府不同部门对关键问题的看法和处理方式不同,这些所谓的健康税在实施方面进展缓慢。促进健康是卫生政策制定者的责任,而征税则是财政部的任务。因此,加强卫生和财政政策制定者之间的合作,对于成功实施有效的健康税至关重要。本文旨在使卫生和财政政策制定者关注共同关心的健康税问题,以促进更有效的跨部门合作,为卫生系统提供更多资金,并改变不健康行为。例如,支持健康税收的新方法包括由于非传染性疾病负担不断增加,对卫生系统融资的日益重视,以及需要解决因 2019 年冠状病毒病大流行造成的健康和经济损害。因此,在实现健康税收方面取得进展的高级别努力正在增强势头,代表着利用卫生和财政政策制定者的综合专业知识向前迈出了重要一步。