Showing posts with label health equity. Show all posts
Showing posts with label health equity. Show all posts

Tuesday, August 13, 2019

Are SSB taxes good or bad for the poor?

In an economic sense, the optimal soda tax is surprisingly high, even if one values economic redistribution and opposes "regressivity" in the tax system, according to a recent NBER working paper from Hunt Allcott, Benjamin Lockwood, and Dmitry Taubinsky.

The three economists recognize that sugar sweetened beverage (SSB) consumption may have a larger budget share for poor consumers than for rich consumers, but, somewhat offsetting this pattern, they consider the possibility that low-income consumers are more responsive to price -- that they have a larger "own-price elasticity" -- enabling them to avoid a larger share of the tax burden, compared to middle- and high-income people. In the end, the authors find that an optimal national tax might be about one or two cents per ounce, equal to or slightly higher than current municipal taxes in Berkeley, Philadelphia, and elsewhere.

This paper relates to an interesting debate over several years in the progressive media, which arises because of the possible tension between public interest goals, including public health nutrition goals on the one hand and anti-poverty goals on the other. For example, Bernie Sanders in 2016 opposed soda taxes, but Anna Lappé wrote in Mother Jones encouraging him to reconsider and support these taxes. Similarly, in 2017, Max Sawicky wrote in In These Times opposing such taxes, while Tom Philpott favored support.

In research in the American Journal of Public Health in January, my colleagues and I estimated the costs and effects of a national penny-per-ounce SSB tax separately for multiple stakeholders: including both richer and poorer groups of consumers, employers (who save money in health care costs with the tax), SSB producers (who lose out especially if they must absorb part of the tax and cannot pass the full value onto consumers), and the government (which wins twice, once from the tax revenue and once from the healthcare cost savings in public insurance programs such as Medicaid).

Clearly, it is not enough to compute effects for an "average person" when studying SSB taxes. Yet, even when we consider the interests of multiple income groups in society, the merits of such taxes may be surprisingly strong.

In These Times.


Saturday, February 23, 2013

34th annual Minority Health Conference at UNC Chapel Hill

The minority student caucus at the University of North Carolina at Chapel Hill yesterday hosted the 34th annual Minority Health Conference.  This remarkable student-organized event has a long tradition of presenting research and advocacy on health equity topics.  Some speakers and many attendees, including mid-career experts now highly accomplished in health and medical fields, had roots in the programs at UNC and other universities that organized the conference years or even decades earlier.  The event was much bigger and more lively than I expected. 

Highlights this year included keynote talks by Brian Smedley (from the Joint Center for Political and Economic Studies and co-founder of the Opportunity Agenda) and Leandris Liburd (director of the Office of Minority Health and Health Equity at CDC).

I enjoyed speaking at a breakout session on food economics.  Indeed, food policy issues seemed to arise throughout the conference in conversations and presentations with people from all sorts of health-related fields of study.