5. Diabetes
29M Type II (1 in 11 people)
86M Prediabetes (1 in 3 people)
(9 in 10 people don't know)
40% of normal-weight people
develop the diseases that start
the metabolic syndrome
(diabetes, hypertension, lipid problems, cardiovascular disease
and non-alcoholic fatty liver disease)
Source: Center for Disease Control
15. Utah Taxes
Sales Tax Rate Grocery Candy Soda
5.95%*
Reduced
Rate
Reduced
Rate
Reduced
Rate
* State rate includes mandatory, statewide, local add-on sales
taxes of Utah (1.25%).
Source: CCH State Tax Guide, State tax department websites
16. Utah State Proposition
Impose a tax per gram of sugar
on consumers and
manufactures.
Launch a state-wide educational
campaign about the risks of high
sugar intake
19. Agave nectar
Barbados sugar
Barley malt
Barley malt syrup
Beet sugar
Brown sugar
Buttered syrup
Cane juice
Cane juice crystals
Cane sugar
Caramel
Carob syrup
Castor sugar
Coconut palm sugar
Coconut sugar
Confectioner's sugar
Corn sweetener
Corn syrup
Corn syrup solids
Date sugar
Dehydrated cane juice
Demerara sugar
Dextrin
Dextrose
Evaporated cane juice
Free-flowing brown
sugars
Fructose
Fruit juice
Fruit juice concentrate
Glucose
Glucose solids
Golden sugar
Golden syrup
Grape sugar
HFCS (High-Fructose
Corn Syrup)
Honey
Icing sugar
Invert sugar
Malt syrup
Maltodextrin
Maltol
Maltose
Mannose
Maple syrup
Molasses
Muscovado
Palm sugar
Panocha
Powdered sugar
Raw sugar
Refiner's syrup
Rice syrup
Saccharose
Sorghum Syrup
Sucrose
Sugar (granulated)
Sweet Sorghum
Syrup
Treacle
Turbinado sugar
Yellow sugar
Excise Taxes on All Sugars
pasta sauces, ketchup, pizza, cereals, etc…
juice, sports drinks and chocolate milk
fizzy drinks
Notas del editor
TRANSITION:
High Intake: Every day in America the average person consumes almost three times more sugar than the World Health Organization (WHO) recommends which is associated with poorer mental health outcomes, reduced quality of life and obesity.
Public Health: Public health officials are being pressured to focus on the looming and massive epidemic of obesity. Obesity is a serious concern because it is the leading causes of death in the U.S. and worldwide. Obesity is driving these major health outcomes and diabetes.
Diabetes: The most common and debilitating disease associated with obesity is diabetes. In the United States:
a. 29 million adults (1 in 11) have type 2 diabetes. Another 86 million (more than 1 in 3) have prediabetes.
b. 40% of normal-weight people develop the diseases that constitute the metabolic syndrome: diabetes, hypertension, lipid problems, cardiovascular disease and non-alcoholic fatty liver disease. Obesity is not the cause; rather, it is a marker for metabolic dysfunction, which is even more prevalent.
Diabetes is a growing threat and if left unchecked it will reach epidemic proportions estimating Americans with diabetes will increase to about 44 million people by 2034.
Childhood Obesity: Childhood obesity is a serious problem in the United States. Despite recent declines in the prevalence among preschool-aged children, obesity among children is still too high. For children and adolescents aged 2-19 years, the prevalence of obesity has remained fairly stable at about 17% and affects about 12.7 million children and adolescents for the past decade.
Genetics/Family History: A factor of no debate is that there is clearly a genetic component to the development of obesity. African Americans, Hispanics/Latinos, American Indians, some Asians, and Native Hawaiians or other Pacific Islanders are at particularly high risk for obesity and type 2 diabetes and their complications. There is also proof that some people are more tolerant. Genetic variations in insulin response are an important factor and allow some people to tolerate more sugar than others.
Healthcare Costs: A final factor is increasing healthcare costs. $1 trillion in healthcare spending was tied to excess consumption of sugar. The direct cost of managing obesity-related conditions has been estimated to be around USD 190 billion in the USA alone. There are also indirect costs related to issues such as increased absenteeism, increased disability and increased premature mortality that have been estimated to add as much as USD 66 billion in additional costs in the USA. In the USA alone, the healthcare costs tied to type II diabetes are estimated at USD 140 billion. Compared to USD 90 billion for tobacco-related healthcare costs. These numbers are growing at a rate of 4% a year, much faster than for obesity (1%–2%).
http://www.forbes.com/sites/danmunro/2013/10/27/sugar-linked-to-1-trillion-in-u-s-healthcare-spending/
TRANSITION: The medical profession has many times pointed to the link between sugar and metabolic diseases, but definitive causality has been difficult to prove. Studies that involve a large number of individuals under direction to follow a controlled diet for several months or years are difficult to manage.
The general view is still that obesity is due to people ingesting more calories than they burn. That people who are 'thinner' or have a little weight around the middle are safe from developing a metabolic disease. Truth is they are both false.
FDA: currently is not considering any proposals to control or regulate sugar consumption. According to the legal experts, even if the FDA decided to tackle the issue tomorrow and analyze if excess sugar consumption is toxic, it would take at least three years to draft a proposal, followed by a further two years of debate.
USDA: According to the USDA, the beverage industry now accounts for 31% of total sweetener deliveries and we estimate that 43% of added sugars in a normal US diet come from sweetened beverages.
Processed Foods: The consumption of added sugar (sugar not contained in natural products like fruit or milk) or high-fructose corn syrup (HFCS) has increased dramatically over the last few decades. Added sugar is now ubiquitous in processed foods, both as a flavor enhancer and preservative.
Market Politics: The extensive lobbying power of the sugar industry is legendary (it is often referred to as the second most political commodity in the world – after oil). The industry is a huge employer across the globe (there are 15 million cane growers in China, and 350,000 beet growers in Europe).
Officials: Regulators, governments and public officials have done little so far to counteract concerns, with very few notable exceptions. Yet, we estimate that the annual costs to the healthcare system due to the global obesity epidemic are in excess of USD 600 billion. But obesity, as bad as it is, is not the most worrisome issue.
TRANSITION: Opinions on the effects of sugar range from those who maintain that it is toxic to those who say that it is a natural product and perfectly healthy at current levels of consumption. While medical research is yet to prove conclusively that sugar is the leading cause of obesity, diabetes type II and metabolic syndrome, the balance of recent medical research studies are coalescing around this conclusion.
The focus on well-being has shifted from disease to diet. Ultimately, consumers, doctors, manufacturers and legislators need to play a crucial role in changing the status quo for sugar. There is not one single action that will reverse the global epidemic of metabolic dysfunction.
While putting this speech together I learned reducing sugar content by half requires federal legislation. Local and state authorities, on the other hand, can act faster, as they have the power to introduce laws to protect public health, safety and welfare.
Utah Taxes: Utah and other states could do more. The majority of the states that impose a state sales tax exclude candy or soft drinks from the definition of grocery food, making them taxable or subjecting them to the state's general sales tax rate. Utah is one of the seven states tax such purchases at a reduced rate.
Note: 45 states & DC impose state sales tax
So my position changed to proposing state legislation to:
1. Launch a state-wide educational campaign about the risks of high sugar intake and 2. Impose a tax per gram of sugar on consumers and manufactures.
The tax revenue will help off-set the increasing cost of healthcare. This will drive companies, or at least the largest ones, to self-regulate and take concrete actions to reduce the amount of added sugar in their products
Obstacles: As mentioned, sugar is the second most political commodity in the world. The industry is a huge employer across the globe. Politicians are very sensitive to protecting these businesses. With that lobbying in this area is fierce. At the top, stands the “global sugar lobby,” often regarded as the most powerful commodity lobby behind that dedicated to preserving the interests of the oil industry. Therefore is little interest to reduce sugar consumption among those in charge of agricultural policies.
TRANSITION: Similar scenario is taxing alcohol and tobacco products which have proven to be the most popular and effective ways to reduce smoking and drinking, and in turn, substance abuse and related harms. Consequently, I propose adding taxes to processed foods that contain any form of added sugars. This includes sweetened fizzy drinks (soda), other sugar-sweetened beverages (for example, juice, sports drinks and chocolate milk) and other processed foods (from pasta sauces, ketchup, pizza and cereals).
Economists generally agree that government intervention, including taxation, is justified when the market fails to provide the optimum amount of a good for society’s well-being. The biggest risk to sales growth and profitability is a negative public image.
Consequently, I propose adding taxes to processed foods that contain any form of added sugars. This includes sweetened fizzy drinks (soda), other sugar-sweetened beverages (for example, juice, sports drinks and chocolate milk) and other processed foods (from pasta sauces, ketchup, pizza and cereals).
Economists generally agree that government intervention, including taxation, is justified when the market fails to provide the optimum amount of a good for society’s well-being. The biggest risk to sales growth and profitability is a negative public image.
TRANSITION: Experts only see positive implications if health is the main consideration to passing new legislation. While a decrease in sugar consumption would have a positive impact on Utahans, legislation would impact these industries: