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„Health taxes“ on foods & beverages
A new trend in Europe?
Zdenek Vilimek, Director, Corporate Identity, Public Affairs & Communications
Coca-Cola Northern Central Europe
Classified - Internal




                                             Classified - Internal use
Recent developments
                                                                                  IS

Hungary: Introduced tax on
beverages with „high“ sugar                                                                                                 FI
levels and on snacks and
                                                                                                        SE
seasonings with „high“ salt                                                                   NO
levels in Sept 2011
Denmark: Introduced tax on                                                                                              EE
saturated fats in Oct 2011;                                                                                                 LV
                                                                                             DK
considers tax on sugars                                       IE
                                                                                                                       LT
France: Introduced tax on                                               UK
beverages with added sugars/                                                           NL
sweeteners in Jan 2012, but                                                                  DE              PL
                                                                                   BE
abandoned link to health                                                                LU
                                                                                                   CZ
Finland: Considers tax on                                                    FR                          SK
sugars                                                                                  CH         AT                            MO
                                                                                                         HU
Ireland, Italy, Romania, Slove-                                                                    SI HR                RO
nia, United Kingdom: Ongoing                                                                             BH
debates about taxes on “un-                                                                  IT              CS
                                                           ES                                             ME                BG
                                                PT
healthy” foodstuffs
                                                                                                           AL MK
Montenegro: Will apply new                                                                                        EL
tax on soft drinks as of April
2012, not linked to health
                                                                                              MT
                                                                                                                                      CY
Excise taxes on foodstuffs exist in: BE, DK, FI, FR, HR, HU, IS, LV, ME, NL, NO
The drivers




              Debt crisis   Obesity trends
Catalyzing assumptions




    Public health     Profitable sectors   Only „fat cats“
  as „easy excuse“?    as „cash cows“?      will suffer?
Taxing obesity?




                  The complexity of obesity
                    (British Nutrition Foundation, 2006)
Taxing calories?


                                                                             Processed foods

                                                                             Alcoholic beverages

                                                                             Non-alcoholic beverages
                                                                             (EU average: 2.5%)
                                                                             Dairy products

                                                                             Meat

                                                                             Fish

                                                                             Fruits & vegetables


                                Sources of energy intake
         (Percentage calorie intake per person per day; source: Reding University, UK data 2011 )
Tackling „unhealthy“ diets, nutrients, or products?

 Cooperative approach           Nutritional approach         Punitive approach
• Assumption: There are       • Assumption: Obesity is    • Assumption: Obesity is
  no healthy or unhealthy       caused by over-             caused by consumption
  products but only             consumption of certain      of „unhealthy“
  healthy or unhealthy          nutrients (fat, salt,       products
  diets/lifesytles              sugar)                    • Conclusion: Policy
• Conclusion: Policy          • Conclusion: Policy          actions have to tackle
  actions have to tackle        actions have to tackle      „unhealthy“ products
  unhealthy diets, not          nutrients, not products   • Actions: Impose excise
  products                    • Actions: Impose excise      taxes, marketing
• Actions: Integrated,          taxes on nutrients,         restrictions, bans on
  multi-stakeholder             incentivize                 certain foods products
  programmes                    reformulation




                    Policy approaches – Cooperative vs. punitive
Activities at EU level


                                        “[…] It cannot be generally stated that „exceptional
                                        taxation‟ is an effective mean to changing people‟s
                                        dietary habits.”
                                        Algirdas Šemeta, Commissioner for Taxation and
                                        Customs Union, Audit and Anti-Fraud
                                        Written answer to EP Question E-007426/2011, 01 Sept 2011



 “[…] While taxation of certain categories of food products is
 not envisaged, the Commission is working closely with
 Member States and with the stakeholders for the reformula-
 tion of food products to encourage easy access to healthier
 products. In particular, commitments of the members of the
 Platform for action on Diet, Physical Activity and health are
 noteworthy.”
 John Dalli, Commissioner for Health and Consumer Affairs
 Written answer to EP Question E-0476/2010, 19 April 2010
Soft drink taxes from a public health perspective


   Soft drink taxes would hardly have any impact on health:
   • Would cover only 2.5% of energy intake, and therefore would not have any
     significant effect on overall calorie reduction
   • Would penalize huge majority of soft drinks consumers with “healthy”
     consumption patterns (e.g. UK: only 6% consume more than 250ml per day)
   • Would unreasonably discriminate one foodstuffs category against others, by
     singling out allegedly “unhealthy” products without impacting unhealthy diets
     or unhealthy lifestyles

   “It is difficult to predict how consumers will react to price changes caused by taxation.
   Some may respond by reducing their consumption of healthy goods in order to pay for the
   more expensive unhealthy goods, thus defeating the purpose of the tax. Others may seek
   substitutes for the taxed products, which might be as unhealthy as those originally
   consumed”.
   OECD, 2012. Obesity Update 2012, OECD Policy Brief, Paris 2010, www.oecd.org/dataoecd/1/61/49716427.pdf
Soft drink taxes from a socio-economic perspective


   Soft drink taxes would have a negative effect on local economies:
   • Fail to significantly raise revenues for public authorities (high price elasticity)
   • Lead to an overall reduction in revenues when looking at wider supply chain
     (multiplier effects)
   • Have a negative macro-economic impact (GDP, investment, inflation,
     recovery)
   • Lead to a variety of market distortions (cross-border shopping, illegal
     businesses, substitutes competition)
   • Have unfair social impact (regressivity)
   “The economic case for taxing soft drinks is weak. [...] A middle or higher income country
   that resorts to a tax list of discriminatory excises on consumption of specified products is
   taking a step back in the development of their fiscal system and is postponing a more
   proper reform that would be in the better interest of the country.“
   Bahl, R., 1998. Why Levy Discriminatory Excises on Soft Drinks?, International Studies Program, School of Policy Studies,
   Georgia State University, Working Paper 98-3, 1998, http://aysps.gsu.edu/isp/files/ ispwp9803.pdf
Coca-Cola in Europe




               Coca-Cola, an American „Fat Cat“?
Coca-Cola in Europe


  Coca-Cola makes a substantial contribution to the European economy:
  • Coca-Cola is associated with € 32.8 billion of value added in the EU-27 (or
    0.27% of GDP)
  • 1 Euro spent on Coca-Cola products generates a value added of 78 cents in the
    EU-27 Member States
  • Almost 700,000 jobs (or 0.29% labor force) are supported in the EU-27 (50,000
    direct + 650,000 indirect jobs; job multiplier: 1:13)
  • For every €1 million spent on Coca-Cola products, 17 jobs in the EU-27 are
    supported

  Coca-Cola’s various multipliers are comparable with the European beer industry

                     (Source: Prof Ethan Kapstein, INSEAD; steward redqueen 2012)
ANNEX: Scientific views on food taxes (1)
The academic community has extensively looked into taxation as an instrument to change dietary consumption patterns
over the last years, and a large number of scientific studies expresses serious doubts about the effectiveness and
appropriateness of taxes, and shows that taxes should not be used to promote healthy diets:


Allais, Olivier & Bertail, P. & Nichele, Veronique, 2008. “The Effects of a "Fat Tax" on the Nutrient Intake of French
Households”, European Association of Agricultural Economists, 2008 International Congress Ghent, 2008,
http://www.inra.fr/internet/Departements/ESR/publications/iss/pdf/iss10-03.pdf
"[...] a "fat tax" would have ambiguous and extremely small effects […]”
"[...] a fat tax policy is unsuitable for substantially affecting the nutrient intake of French households.”
“[…] food policymakers need to keep in mind that a fat tax policy may have perverse effects by exacerbating nutritional
disparities among consumers".


Amarasinghe, Anura & D’Souza, Gerard, 2010. Obesity Prevention: A Review of the Interactions and Interventions, and
some Policy Implications, West Virginia University, Regional Research Institute, Research Paper 2010-2, 2010,
http://www.rri.wvu.edu/pdffiles/wp2010-2.pdf
“Since fat taxes are regressive, tax incidence would be felt hardest by low income families.”; “[…] justification for a
discriminatory excise tax on soft drinks is weak.”


Bahl, Roy, 1998. Why Levy Discriminatory Excises on Soft Drinks?, International Studies Program, School of Policy
Studies, Georgia State University, Working Paper 98-3, 1998, http://aysps.gsu.edu/isp/files/ ispwp9803.pdf
"[...] the economic case for taxing soft drinks is weak. [...] A middle or higher income country that resorts to a tax list of
discriminatory excises on consumption of specified products is taking a step back in the development of their fiscal system
and is postponing a more proper reform that would be in the better interest of the country"
“The case for a discriminatory tax on soft drinks is very weak. At best the discriminatory taxation of soft drinks is part of a
"stopgap" program, usually designed to solve a short-term revenue problem”
ANNEX: Scientific views on food taxes (2)
Barclay, Alan W. & Brand-Miller, Jennie, 2011. "The Australian Paradox: A Substantial Decline in Sugars Intake over the
Same Timeframe that Overweight and Obesity Have Increased", Nutrients 3, 2011, http://www.mdpi.com/2072-
6643/3/4/491/pdf
 “Our findings do not support the widely held belief that reducing the consumption of refined sugars, and increasing the
availability and preference for low-joule beverages, will help to reverse societal trends in obesity”
“The findings challenge the implicit assumption that taxes and other measures to reduce intake of soft drinks will be an
effective strategy in global efforts to reduce obesity”


Crowle, Jacqueline & Turner, Erin, 2010. Childhood Obesity: An Economic Perspective, Australian Government,
Productivity Commission Working Paper, Melbourne 2010, http://www.pc.gov.au/__data/
assets/pdf_file/0015/103308/childhood-obesity.pdf
“Bans or taxes on particular energy-dense nutrient-poor foods, for example, face design difficulties, affect all consumers
regardless of their weight status, and in the case of taxes, can have perverse budgetary and health effects particularly for
the neediest groups.”
“The considerable uncertainty about the causes of obesity suggests that hard interventions, such as taxes or subsidies on
specific goods and services, would be difficult to justify. Further, the practical challenges of designing taxes on specific
goods and services limit the likelihood of them being effective in addressing obesity (and may lead to perverse
outcomes).”


Fletcher, Jason M. & Frisvold, David E. & Tefft, Nathan, 2010. "The effects of soft drink taxes on child and adolescent
consumption and weight outcomes", Journal of Public Economics 94, 2010, http://medicine.yale.edu/labs/fletcher/soda.pdf
"[...] soft drink taxes do not appear to have countered the rise in obesity prevalence because any reduction in soft drink
consumption has been offset by the consumption of other calories. Cast in this light, the revenue generation and health
benefits of soft drink taxes appear to be weaker than expected."
ANNEX: Scientific views on food taxes (3)
Gelbach, Jonah B. & Klick, Jonathan & Stratmann, Thomas, 2007. Cheap Donuts and Expensive Broccoli: The Effect of
Relative Prices on Obesity, Social Science Research Network, Working Paper Series, 2007,
http://tigger.uic.edu/~nba/donuts.pdf
"[...] the sensitivity of individuals to changes in relative food prices may not be sufficient to make fat taxes, within plausible
ranges, a viable tool to lower obesity".


Hespel, Véronique & Berthod-Wurmser, Marianne, 2008. Rapport sur la pertinence et la faisabilité d'une taxation
nutritionelle (Report on the pertinence and feasibility of a nutritional tax), République Française, Inspection générale des
Finances, Inspection générale des Affaires sociales, Paris 2008, http://www.igf.
finances.gouv.fr/gcp/webdav/site/igfinternet/shared/Nos_Rapports/documents/2008/Taxe_nutritionnelle.pdf
"The establishment of a tax for exclusively nutritional purposes would face a number of difficulties: Very heavy
administrative costs for companies and authorities, as well as legal, technical, economic and social obstacles, especially in
terms of justification. The mission repels this option and rather recommends to go back to available fiscal measures"
(translation from the French).


Lacanilao, Ryan D. & Cash, Sean B. & Adamowicz, Wiktor L., 2011. "Heterogeneous Consumer Responses to Snack
Food Taxes and Warning Labels", Journal of Consumer Affairs Vol. 45 No. 1, 2011,
http://onlinelibrary.wiley.com/doi/10.1111/j.1745-6606.2010.01194.x/pdf
"The low own-price elasticities found here provide support to the existing literature that suggests that a tax on less healthy
food products would not be an effective way to decrease consumption of these products".


Mattes, R.D. & Shikany, J.M & Kaiser, K.A. & Allison, D.B., 2011. "Nutritively sweetened beverage consumption and body
weight: a systematic review and meta-analysis of randomized experiments", Obesity Reviews Vol. 12 No. 5, 2011,
http://www.coca-cola.com.sg/media/pdf/research-paper_obesity.pdf
"The current evidence does not demonstrate conclusively that NSB consumption has uniquely contributed to obesity or
that reducing NSB consumption will reduce BMI levels in general".
ANNEX: Scientific views on food taxes (4)
OECD, 2010. Healthy Choices, OECD Health Ministerial Meeting, Paris, 7-8 October 2010, Session 2, Paris 2010,
http://www.oecd.org/dataoecd/14/13/46098333.pdf
"[...] fiscal measures aimed specifically to change behavior are complex to design and enforce; their impact may be
unpredictable as the price elasticity of demand varies across individuals and population groups; they can bear more
heavily on low-income groups than on those with higher incomes, and substitution effects are not always obvious".


OECD, 2010. F. Sassi, Obesity and the Economics of Prevention. Fit not Fat, OECD Publications, Paris 2010,
http://www.oecd.org/document/31/0,3746,en_21571361_44701414_45999775_1_1_1_1,00.html
 “The impact of the tax on government and supplier (e.g. food manufacturer) revenues will depend on the elasticity of
consumers‟ demand for the taxed product”.
“Taxes on lifestyle commodities, or sin taxes, tend to be controversial. Critics perceive them as undue interference with
individual choice. Governments levying such taxes are sometimes seen as “profiting” from unhealthy behaviours”.
“In addition, taxes on consumption are typically regressive, unless consumption is concentrated among the wealthiest,
which is certainly not the case for most potentially unhealthy lifestyle commodities, as the consumption of these tends to
be concentrated among the less well off. Therefore, tax payments will weigh more heavily on the incomes of the most
disadvantaged”.
“In addition to distributional effects, imposing taxes on certain forms of consumption may also generate costs, mainly in
relation to enforcement. When prices in a market are kept artificially high by taxation, phenomena like parallel trade and
smuggling will flourish, which governments must then regulate or repress”.


OECD, 2012. Obesity Update 2012, OECD Policy Brief, Paris 2010, www.oecd.org/dataoecd/1/61/49716427.pdf
“It is difficult to predict how consumers will react to price changes caused by taxation. Some may respond by reducing
their consumption of healthy goods in order to pay for the more expensive unhealthy goods, thus defeating the purpose of
the tax. Others may seek substitutes for the taxed products, which might be as unhealthy as those originally consumed”.
ANNEX: Scientific views on food taxes (5)
Suggs, L. Suzanne & McIntyre, Chris, 2011. "European Union public opinion on policy measures to address childhood
overweight and obesity", Journal of Public Health Policy 32, 2011, http://www.palgrave-
journals.com/jphp/journal/v32/n1/full/jphp201044a.html
"Our results suggest strong consistency among EU countries in support for two policies: providing information to parents
and more physical activity in schools. For improving children's diets, our data show widespread support for providing
parents with information, education programs in schools, and restrictions on advertising. For reducing childhood obesity,
more physical activity in schools received the most support followed by education and advertising restrictions. There was
very little support for imposing taxes on unhealthy food".
In the survey, tax increases were overwhelmingly rejected, receiving only 2.8 per cent support. Sixteen countries had 2 per
cent or less support for this measure.


Valente, H. et al., 2010. "Sugar-sweetened beverage intake and overweight in children from a Mediterranean country",
Public Health Nutrition Vol. 14 No. 1, 2010, http://journals.cambridge.org/ abstract_S1368980010002533
"We did not find any association between overweight and SSB consumption in any consumption group [...]"
"The intake of SSB was not associated with increased risk of overweight [...]".

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Zdeněk Vilímek: Free Market Road Show 2012

  • 1. „Health taxes“ on foods & beverages A new trend in Europe? Zdenek Vilimek, Director, Corporate Identity, Public Affairs & Communications Coca-Cola Northern Central Europe Classified - Internal Classified - Internal use
  • 2. Recent developments IS Hungary: Introduced tax on beverages with „high“ sugar FI levels and on snacks and SE seasonings with „high“ salt NO levels in Sept 2011 Denmark: Introduced tax on EE saturated fats in Oct 2011; LV DK considers tax on sugars IE LT France: Introduced tax on UK beverages with added sugars/ NL sweeteners in Jan 2012, but DE PL BE abandoned link to health LU CZ Finland: Considers tax on FR SK sugars CH AT MO HU Ireland, Italy, Romania, Slove- SI HR RO nia, United Kingdom: Ongoing BH debates about taxes on “un- IT CS ES ME BG PT healthy” foodstuffs AL MK Montenegro: Will apply new EL tax on soft drinks as of April 2012, not linked to health MT CY Excise taxes on foodstuffs exist in: BE, DK, FI, FR, HR, HU, IS, LV, ME, NL, NO
  • 3. The drivers Debt crisis Obesity trends
  • 4. Catalyzing assumptions Public health Profitable sectors Only „fat cats“ as „easy excuse“? as „cash cows“? will suffer?
  • 5. Taxing obesity? The complexity of obesity (British Nutrition Foundation, 2006)
  • 6. Taxing calories? Processed foods Alcoholic beverages Non-alcoholic beverages (EU average: 2.5%) Dairy products Meat Fish Fruits & vegetables Sources of energy intake (Percentage calorie intake per person per day; source: Reding University, UK data 2011 )
  • 7. Tackling „unhealthy“ diets, nutrients, or products? Cooperative approach Nutritional approach Punitive approach • Assumption: There are • Assumption: Obesity is • Assumption: Obesity is no healthy or unhealthy caused by over- caused by consumption products but only consumption of certain of „unhealthy“ healthy or unhealthy nutrients (fat, salt, products diets/lifesytles sugar) • Conclusion: Policy • Conclusion: Policy • Conclusion: Policy actions have to tackle actions have to tackle actions have to tackle „unhealthy“ products unhealthy diets, not nutrients, not products • Actions: Impose excise products • Actions: Impose excise taxes, marketing • Actions: Integrated, taxes on nutrients, restrictions, bans on multi-stakeholder incentivize certain foods products programmes reformulation Policy approaches – Cooperative vs. punitive
  • 8. Activities at EU level “[…] It cannot be generally stated that „exceptional taxation‟ is an effective mean to changing people‟s dietary habits.” Algirdas Šemeta, Commissioner for Taxation and Customs Union, Audit and Anti-Fraud Written answer to EP Question E-007426/2011, 01 Sept 2011 “[…] While taxation of certain categories of food products is not envisaged, the Commission is working closely with Member States and with the stakeholders for the reformula- tion of food products to encourage easy access to healthier products. In particular, commitments of the members of the Platform for action on Diet, Physical Activity and health are noteworthy.” John Dalli, Commissioner for Health and Consumer Affairs Written answer to EP Question E-0476/2010, 19 April 2010
  • 9. Soft drink taxes from a public health perspective Soft drink taxes would hardly have any impact on health: • Would cover only 2.5% of energy intake, and therefore would not have any significant effect on overall calorie reduction • Would penalize huge majority of soft drinks consumers with “healthy” consumption patterns (e.g. UK: only 6% consume more than 250ml per day) • Would unreasonably discriminate one foodstuffs category against others, by singling out allegedly “unhealthy” products without impacting unhealthy diets or unhealthy lifestyles “It is difficult to predict how consumers will react to price changes caused by taxation. Some may respond by reducing their consumption of healthy goods in order to pay for the more expensive unhealthy goods, thus defeating the purpose of the tax. Others may seek substitutes for the taxed products, which might be as unhealthy as those originally consumed”. OECD, 2012. Obesity Update 2012, OECD Policy Brief, Paris 2010, www.oecd.org/dataoecd/1/61/49716427.pdf
  • 10. Soft drink taxes from a socio-economic perspective Soft drink taxes would have a negative effect on local economies: • Fail to significantly raise revenues for public authorities (high price elasticity) • Lead to an overall reduction in revenues when looking at wider supply chain (multiplier effects) • Have a negative macro-economic impact (GDP, investment, inflation, recovery) • Lead to a variety of market distortions (cross-border shopping, illegal businesses, substitutes competition) • Have unfair social impact (regressivity) “The economic case for taxing soft drinks is weak. [...] A middle or higher income country that resorts to a tax list of discriminatory excises on consumption of specified products is taking a step back in the development of their fiscal system and is postponing a more proper reform that would be in the better interest of the country.“ Bahl, R., 1998. Why Levy Discriminatory Excises on Soft Drinks?, International Studies Program, School of Policy Studies, Georgia State University, Working Paper 98-3, 1998, http://aysps.gsu.edu/isp/files/ ispwp9803.pdf
  • 11. Coca-Cola in Europe Coca-Cola, an American „Fat Cat“?
  • 12. Coca-Cola in Europe Coca-Cola makes a substantial contribution to the European economy: • Coca-Cola is associated with € 32.8 billion of value added in the EU-27 (or 0.27% of GDP) • 1 Euro spent on Coca-Cola products generates a value added of 78 cents in the EU-27 Member States • Almost 700,000 jobs (or 0.29% labor force) are supported in the EU-27 (50,000 direct + 650,000 indirect jobs; job multiplier: 1:13) • For every €1 million spent on Coca-Cola products, 17 jobs in the EU-27 are supported Coca-Cola’s various multipliers are comparable with the European beer industry (Source: Prof Ethan Kapstein, INSEAD; steward redqueen 2012)
  • 13. ANNEX: Scientific views on food taxes (1) The academic community has extensively looked into taxation as an instrument to change dietary consumption patterns over the last years, and a large number of scientific studies expresses serious doubts about the effectiveness and appropriateness of taxes, and shows that taxes should not be used to promote healthy diets: Allais, Olivier & Bertail, P. & Nichele, Veronique, 2008. “The Effects of a "Fat Tax" on the Nutrient Intake of French Households”, European Association of Agricultural Economists, 2008 International Congress Ghent, 2008, http://www.inra.fr/internet/Departements/ESR/publications/iss/pdf/iss10-03.pdf "[...] a "fat tax" would have ambiguous and extremely small effects […]” "[...] a fat tax policy is unsuitable for substantially affecting the nutrient intake of French households.” “[…] food policymakers need to keep in mind that a fat tax policy may have perverse effects by exacerbating nutritional disparities among consumers". Amarasinghe, Anura & D’Souza, Gerard, 2010. Obesity Prevention: A Review of the Interactions and Interventions, and some Policy Implications, West Virginia University, Regional Research Institute, Research Paper 2010-2, 2010, http://www.rri.wvu.edu/pdffiles/wp2010-2.pdf “Since fat taxes are regressive, tax incidence would be felt hardest by low income families.”; “[…] justification for a discriminatory excise tax on soft drinks is weak.” Bahl, Roy, 1998. Why Levy Discriminatory Excises on Soft Drinks?, International Studies Program, School of Policy Studies, Georgia State University, Working Paper 98-3, 1998, http://aysps.gsu.edu/isp/files/ ispwp9803.pdf "[...] the economic case for taxing soft drinks is weak. [...] A middle or higher income country that resorts to a tax list of discriminatory excises on consumption of specified products is taking a step back in the development of their fiscal system and is postponing a more proper reform that would be in the better interest of the country" “The case for a discriminatory tax on soft drinks is very weak. At best the discriminatory taxation of soft drinks is part of a "stopgap" program, usually designed to solve a short-term revenue problem”
  • 14. ANNEX: Scientific views on food taxes (2) Barclay, Alan W. & Brand-Miller, Jennie, 2011. "The Australian Paradox: A Substantial Decline in Sugars Intake over the Same Timeframe that Overweight and Obesity Have Increased", Nutrients 3, 2011, http://www.mdpi.com/2072- 6643/3/4/491/pdf “Our findings do not support the widely held belief that reducing the consumption of refined sugars, and increasing the availability and preference for low-joule beverages, will help to reverse societal trends in obesity” “The findings challenge the implicit assumption that taxes and other measures to reduce intake of soft drinks will be an effective strategy in global efforts to reduce obesity” Crowle, Jacqueline & Turner, Erin, 2010. Childhood Obesity: An Economic Perspective, Australian Government, Productivity Commission Working Paper, Melbourne 2010, http://www.pc.gov.au/__data/ assets/pdf_file/0015/103308/childhood-obesity.pdf “Bans or taxes on particular energy-dense nutrient-poor foods, for example, face design difficulties, affect all consumers regardless of their weight status, and in the case of taxes, can have perverse budgetary and health effects particularly for the neediest groups.” “The considerable uncertainty about the causes of obesity suggests that hard interventions, such as taxes or subsidies on specific goods and services, would be difficult to justify. Further, the practical challenges of designing taxes on specific goods and services limit the likelihood of them being effective in addressing obesity (and may lead to perverse outcomes).” Fletcher, Jason M. & Frisvold, David E. & Tefft, Nathan, 2010. "The effects of soft drink taxes on child and adolescent consumption and weight outcomes", Journal of Public Economics 94, 2010, http://medicine.yale.edu/labs/fletcher/soda.pdf "[...] soft drink taxes do not appear to have countered the rise in obesity prevalence because any reduction in soft drink consumption has been offset by the consumption of other calories. Cast in this light, the revenue generation and health benefits of soft drink taxes appear to be weaker than expected."
  • 15. ANNEX: Scientific views on food taxes (3) Gelbach, Jonah B. & Klick, Jonathan & Stratmann, Thomas, 2007. Cheap Donuts and Expensive Broccoli: The Effect of Relative Prices on Obesity, Social Science Research Network, Working Paper Series, 2007, http://tigger.uic.edu/~nba/donuts.pdf "[...] the sensitivity of individuals to changes in relative food prices may not be sufficient to make fat taxes, within plausible ranges, a viable tool to lower obesity". Hespel, Véronique & Berthod-Wurmser, Marianne, 2008. Rapport sur la pertinence et la faisabilité d'une taxation nutritionelle (Report on the pertinence and feasibility of a nutritional tax), République Française, Inspection générale des Finances, Inspection générale des Affaires sociales, Paris 2008, http://www.igf. finances.gouv.fr/gcp/webdav/site/igfinternet/shared/Nos_Rapports/documents/2008/Taxe_nutritionnelle.pdf "The establishment of a tax for exclusively nutritional purposes would face a number of difficulties: Very heavy administrative costs for companies and authorities, as well as legal, technical, economic and social obstacles, especially in terms of justification. The mission repels this option and rather recommends to go back to available fiscal measures" (translation from the French). Lacanilao, Ryan D. & Cash, Sean B. & Adamowicz, Wiktor L., 2011. "Heterogeneous Consumer Responses to Snack Food Taxes and Warning Labels", Journal of Consumer Affairs Vol. 45 No. 1, 2011, http://onlinelibrary.wiley.com/doi/10.1111/j.1745-6606.2010.01194.x/pdf "The low own-price elasticities found here provide support to the existing literature that suggests that a tax on less healthy food products would not be an effective way to decrease consumption of these products". Mattes, R.D. & Shikany, J.M & Kaiser, K.A. & Allison, D.B., 2011. "Nutritively sweetened beverage consumption and body weight: a systematic review and meta-analysis of randomized experiments", Obesity Reviews Vol. 12 No. 5, 2011, http://www.coca-cola.com.sg/media/pdf/research-paper_obesity.pdf "The current evidence does not demonstrate conclusively that NSB consumption has uniquely contributed to obesity or that reducing NSB consumption will reduce BMI levels in general".
  • 16. ANNEX: Scientific views on food taxes (4) OECD, 2010. Healthy Choices, OECD Health Ministerial Meeting, Paris, 7-8 October 2010, Session 2, Paris 2010, http://www.oecd.org/dataoecd/14/13/46098333.pdf "[...] fiscal measures aimed specifically to change behavior are complex to design and enforce; their impact may be unpredictable as the price elasticity of demand varies across individuals and population groups; they can bear more heavily on low-income groups than on those with higher incomes, and substitution effects are not always obvious". OECD, 2010. F. Sassi, Obesity and the Economics of Prevention. Fit not Fat, OECD Publications, Paris 2010, http://www.oecd.org/document/31/0,3746,en_21571361_44701414_45999775_1_1_1_1,00.html “The impact of the tax on government and supplier (e.g. food manufacturer) revenues will depend on the elasticity of consumers‟ demand for the taxed product”. “Taxes on lifestyle commodities, or sin taxes, tend to be controversial. Critics perceive them as undue interference with individual choice. Governments levying such taxes are sometimes seen as “profiting” from unhealthy behaviours”. “In addition, taxes on consumption are typically regressive, unless consumption is concentrated among the wealthiest, which is certainly not the case for most potentially unhealthy lifestyle commodities, as the consumption of these tends to be concentrated among the less well off. Therefore, tax payments will weigh more heavily on the incomes of the most disadvantaged”. “In addition to distributional effects, imposing taxes on certain forms of consumption may also generate costs, mainly in relation to enforcement. When prices in a market are kept artificially high by taxation, phenomena like parallel trade and smuggling will flourish, which governments must then regulate or repress”. OECD, 2012. Obesity Update 2012, OECD Policy Brief, Paris 2010, www.oecd.org/dataoecd/1/61/49716427.pdf “It is difficult to predict how consumers will react to price changes caused by taxation. Some may respond by reducing their consumption of healthy goods in order to pay for the more expensive unhealthy goods, thus defeating the purpose of the tax. Others may seek substitutes for the taxed products, which might be as unhealthy as those originally consumed”.
  • 17. ANNEX: Scientific views on food taxes (5) Suggs, L. Suzanne & McIntyre, Chris, 2011. "European Union public opinion on policy measures to address childhood overweight and obesity", Journal of Public Health Policy 32, 2011, http://www.palgrave- journals.com/jphp/journal/v32/n1/full/jphp201044a.html "Our results suggest strong consistency among EU countries in support for two policies: providing information to parents and more physical activity in schools. For improving children's diets, our data show widespread support for providing parents with information, education programs in schools, and restrictions on advertising. For reducing childhood obesity, more physical activity in schools received the most support followed by education and advertising restrictions. There was very little support for imposing taxes on unhealthy food". In the survey, tax increases were overwhelmingly rejected, receiving only 2.8 per cent support. Sixteen countries had 2 per cent or less support for this measure. Valente, H. et al., 2010. "Sugar-sweetened beverage intake and overweight in children from a Mediterranean country", Public Health Nutrition Vol. 14 No. 1, 2010, http://journals.cambridge.org/ abstract_S1368980010002533 "We did not find any association between overweight and SSB consumption in any consumption group [...]" "The intake of SSB was not associated with increased risk of overweight [...]".