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November 3, 2009
Jon Wardle and Michael Baranovic conclude their article in the latest issue of The Brisbane Line by saying that:
Health problems are no longer being caused by lack of access to food but rather by lack of access to foods that provide the most health benefit. We need to look at food provision in a more integrated manner that extends beyond just price. Until the issue of a competitive fresh food retail sector is seen as a public health priority, the significant and entirely preventable impact of poor nutrition on health will remain a millstone on Australia’s health policy.
Most of their article is about the lack of competition in the fresh food retail and grocery sector due to the dominance of the Woolworths/Coles duopoly in Australia and how to ensure healthier competitive practices.
What is assumed is that the food industry causes health problems, that a preventative health policy ensures an equitable access to healthy, nutritious food, and that there is a literacy amongst consumers about the importance of healthy food for their wellbeing.
What is not mentioned by Wardle and Baranovic is that in spite of the claim of selling fresh food the supermarket shelves are full of foods full of sugars, fats, refined starches, artificial sweeteners, preservatives, colours, flavours and other additives. As Rosemary Stanton observes in Crikey:
The vast array of foods ensures we over-eat. The average supermarket now stocks 1800 different snack food lines, more than 150 breakfast cereals (some more accurately described as confectionery), and an absurd choice of junk in aisles stocked with packet soups, sauces, biscuits and sugary drinks. Does it really make us happier or healthier to have 45 varieties of milk or hundreds of choices of yoghurt?.. there is an urgent need to reduce the national girth. The most popular call is for more physical activity. No one would argue with that. But we also need to find a way to encourage people to eat less.
And to encourage people to eat differently--to eat more fresh food rather than the junk foods that are high in saturated fat and sugar. Stanton adds that:
The usual cry of “they should be educated” doesn’t work in the face of so much abundance and strong marketing campaigns to get us to eat more. Food industry profits depend on us eating more. The food industry’s solution of more choice increases profits, but does nothing for obesity.
I am sure that the food and drinks industry will both actively lobby against the recommendations of the Preventative Health Taskforce that will impact of their profits; and reposition themselves as the true friends of public health and market themselves as selling healthy products.
No sales tax on sugary soft drinks and fatty foods would be one example that would not go down well the food industry. They would resist this for sure.
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The problem of taxing particular food types is that it can disadvantage people with a legitimate need for such foods.
Epileptics, for example, particular if they cannot deal with the nasty side-effects of anticonvulsants, sometimes have to resort to a ketogenic diet (very high fat while low sugar) which can give net health benefit despite the near-certainty of cardiovascular disease.
Type-1 diabetics are sometimes in critical need of something high in sugar.
There are other examples, but this does indicate some of the problems of taxes, or organizing rebates (especially for those sick enough to be on disability pensions where a rebate would be useless).
Much more useful, I think, would be a stick/carrot based on the outcomes on a case-by-case basis. Funding an annual checkup with a doctor testing for problems, (a height/weight/skinfold/bloodpressure check needs no fancy instruments and gives useful data) immediately causes correct advice (even just leaflets) to be given - which helps.
Hell, a small rebate/reward for being in the healthy range might even be useful - underweight or overweight, no benefit.
Taxes on "bad" food might simply make governments "bad food addicts", just as governments are addicted to smoking and gambling.