A tax on high-sugar soft drinks would help pay for health-care reform that ensures all Americans have regular access to doctors and slows health-care cost growth. It also should improve Americans’ health.
In April, The New England Journal of Medicine reported that the average American consumes nearly three times as many high-sugar soft drinks as he or she did a few decades ago. Roughly half of teenage boys drink more than two six-packs of soft drinks every week, according to the U.S. Department of Agriculture. This has helped drive up the nation’s obesity rate. U.S. children aged 6 to 19 are three times as likely to be overweight as they were in 1970.
Americans’ growing thirst for sugary drinks has increased both the prevalence of illnesses like diabetes and heart disease and the nation’s health-care costs. In fact, increasing obesity accounted for about a quarter of the growth in real per capita health spending between 1987 and 2001, according to an Emory University study.
A tax on soda, heavily sweetened "sport drinks," and similar products would reduce obesity and its related costs by discouraging consumption. Admittedly, it would hit poorer people harder than the wealthy ones when measured as a share of their income. But poorer people would benefit the most from the universal health coverage the tax would help pay for, since they’re much more likely to be uninsured. And people who buy fewer sugary drinks because of the tax would reap health benefits.
For these reasons, the tax should be one of the revenue increases and spending reductions Congress adopts to fund health reform.
Fat cats apparently are not the only Americans who may see their tax bills go up.
To finance President Barack Obama’s proposed health-care reform initiative, which may cost as much as $1.5 trillion over 10 years, Washington is considering a tax on sugary soft drinks that supposedly contribute to the modern sin of obesity.
This would not be a first. Federal excise taxes were levied on soft drinks during World War I and briefly at the start of the New Deal. Several states have tried it on their own as well, but soft drink taxes have been abolished in all but two: Arkansas and West Virginia.
Saying soda is "one of the most harmful products in the food supply," as one health activist recently put it, casts the proposed tax as one with a positive effect: nudging consumers toward healthier lifestyles.
But soft drink sales have been declining for the past nine years without such a tax. And obesity rates in the two states that do tax soft drinks are among the nation’s highest.
Singling out the consumers of some products to finance a health-care plan the President says will benefit all Americans is fiscal discrimination at its most brazen. The closer the U.S. moves toward a single-payer health system, the more pressure there will be to tax any product that anyone, anywhere, plausibly can argue is detrimental to one’s health. Today it may be soda. Tomorrow it could be ethnic food, coffee, bacon and eggs, hot dogs, and red meat.
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