It is unclear what use is made of the proceeds from the fat tax. Ideally, the proceeds would be funneled into health care, either specifically for research and treatment of diseases caused or worsened by the intake of saturated fat or generally for overall health care. Denmark also taxes soda and candy, but it’s also unclear where those tax proceeds are expended.
Readers of MauledAgain know that I have consistently objected to a tax on soda and sugary beverages. As I have explained in a series of posts beginning with What Sort of Tax?, and continuing in The Return of the Soda Tax Proposal, Tax As a Hate Crime?, Yes for The Proposed User Fee, No for the Proposed Tax, Philadelphia Soda Tax Proposal Shelved, But Will It Return?, Taxing Symptoms Rather Than Problems, It’s Back! The Philadelphia Soda Tax Proposal Returns, The Broccoli and Brussel Sprouts of Taxation, and The Realities of the Soda Tax Policy Debate, my objection rests on singling out sugary beverages as a target when there are many other substances ingested by people that contribute to the rising cost of health care. As I explained in The Realities of the Soda Tax Policy Debate:
The problem with these attempted explanations for why sugary beverages are singled out in the “we need revenue, let’s tax something” version of the defeated proposal is that they rest on erroneous factual assumptions, conflate information, and ignore reality. First, though moderate and sensible use of sugar does not trigger obesity and other illnesses, there is no such thing as moderate use of tobacco because any use of tobacco ramps up the risk of cancer and other disease. Second, sugar is not the only substance that, consumed excessively, causes health problems. Excessive intake of fat, for example, is just as dangerous, if not more so. Even water can be deadly, as evidenced by people who have died in foolish water drinking contests. Where is the logic behind “Sugar is bad, tax it, fat is bad, don’t tax it”? The notion that people will take in more sugar drinking soda because soda is not filling ignores the fact that gulping down a huge amount of liquids will leave a person with less stomach room, and less desire, to take in food. Does it make sense to encourage the ingestion of Twinkies rather than soda because it’s better to fill the stomach with sugar and fat? Finally, the notion that cigarette taxes has cut smoking is debatable, particularly with respect to tobacco use among younger people, who supposedly are the targets of the “tax will teach you a lesson” proponents.Interestingly, according to the report, Denmark has banned the use of trans fats, and thus there is no tax on them. Although saturated fats also contribute to cardiovascular disease and cancer, Denmark has opted not to ban them but to tax them, not unlike what governments in the United States do with tobacco.
From a health perspective, the target needs to be the items originally indicted by the Yale researcher, namely, high-calorie, low-nutrition substances. The issue isn’t so much the item, other than the true poisons such as nicotine and trans-fats, but the quantities being consumed. Even low-calorie, high-nutrition foods can be dangerous if consumed in excess. The focus on soda, intense as it is on the part of the soda tax advocates, suggests something more is at work. I wonder if we would be seeing “donut tax” proposals offered with the same zealousness had it been donut manufacturers who tossed money at school boards to install vending machines in the schools. I wonder.
One Danish citizen interviewed by ABC News explained, “Denmark finds every sort of way to increase our taxes. Why should the government decide how much fat we eat? They also want to increase the tobacco price very significantly. In theory this is good — it makes unhealthy items expensive so that we do not consume as much or any and that way the health system doesn’t use a lot of money on patients who become sick from overuse of fat and tobacco. However, these taxes take on a big brother feeling. We should not be punished by taxes on items the government decides we should not use.” These observations demonstrate the tension between individual liberty and societal responsibility. Governments care about the health of its citizens, or, because governments are the citizens, citizens care about the health of other citizens for several reasons. An out-of-shape citizenry is in no condition to defend the nation. An unhealthy citizenry diverts scarce resources from efforts to make progress economically, socially, culturally, and technologically to efforts to repair the damage caused by unhealthy practices. To the extent health care is covered through insurance systems, it is in the interest of every insured to keep the overall risk as low as possible. That goal is enhanced when unhealthy behavior is reduced, either through education and encouragement or through prohibition and penalty. A balance between individual liberty and societal intervention can be reached if responsibility for individual decisions rested solely on individuals. Thus, the person who engages in unhealthy and risky behavior and who is unwilling to participate in societal insurance or to be subjected to societal restrictions must be willing to bear the full cost, without societal assistance, of the consequences of that behavior. What sort of society, though, is willing to tell a person who shows up at an emergency room, “You chose to ignore the speed limit, not wear a seat belt, and not purchase health or accident insurance, so we cannot assist you.” Frighteningly, there are increasing numbers of people who want to take that approach. But there is a flaw in their reasoning. What if the unhealthy behavior brings consequences beyond the person engaging in that behavior? What does a society say to a person who is injured, or whose family member is killed, because another person’s unhealthy behavior led to, for example, a heart attack that triggered a traffic accident?
The Danish citizen’s concern about big brother is real but misplaced. The fear that government is becoming or has become big brother is a distraction. The deeper concern is that private actors in the private sector act as big brother. For every government security camera, there are many more private sector cameras. For every government form that citizens fill out with personal information, there are many more private sector information collection devices doing the same and more. For every government rule or law, there are many more private sector regulations. The question is whether the cameras, the information collection, and the laws should be imposed by a non-accountable private sector oligarchy or by a government accountable through the ballot box. The latter option, of course, is rapidly disappearing as the oligarchy continues to acquire increasing amounts of electoral power disproportionate to the principle of one person, one vote.
There is value in shifting the cost of health care to the practices and substances that jeopardize good health. But that shifting needs to be consistent. Selecting one or two items, such as soda and saturated fat, while ignoring others, is a recipe for ultimate failure. The ideal tax is one that, for the moment at least, cannot be administered. One of the most serious contributors to health issues is excess caloric consumption. Because calories abound across the menu, a tax on all foods accomplishes nothing in this respect. That is why the better approach is education. Again, there is a serious tension between those who think that dietary and nutritional should be delivered by the public sector, for example, schools, and those who think it is a matter for the private sector. But a quick look at this country’s population is visible proof that reliance on the private sector to promote good health and educate people with respect to beneficially healthy practices has been pretty much a failure. That is why some people advocate soda and fat taxes. Though that advocacy is understandable and well-intentioned, it is too narrowly focused, and if focused appropriately, runs into the barrier of impractical application.