How To Pay For The Health Bill: Tax The Foods That Make Us Fat

Now that the health care bill seems like it might actually pass, the next question is how we are going to pay for it. While the Congressional budget office suggests the measures will save us billions, estimates for the final cost have been all over the place. Regardless of how much we finally save, the government is still going to spend billions of dollars expanding Medicaid coverage and providing subsidies for employers. Our options are to continue piling on to our already colossal debt, or to find some other way to pay for it. Here is one suggestion…

A large number of the infirmities and chronic and fatal illnesses in the United States are based on behavior, rather than accidents or genetics. This is the reason we have a “sin tax” on tobacco and alcohol: to compensate the costs in the health care system for the damage these products do. One of the proposals to cover health care costs is to impose a  sin tax on the foods that increase the epidemic of obesity, diabetes, high blood pressure and heart attacks, and cost the health care system billions of dollars per annum.

Healthcare Outsider analyzed the four most dangerous ingredients in food (sugar, trans fat, saturated fat, and sodium) and estimated a sin tax for each of these. The tax could serve to curb consumption  of disease-causing substances and as a way to make those who make bad choices compensate the government and responsible citizens who have to pay higher insurance premiums. These proposals will have an enormous impact on the major producers and distributors of foods if Congress passes any of these measures. HCO evaluated the companies that produce and distribute the foods and beverages that are likely to make people unhealthy. We analyzed the impact a sin tax would have on these 12 corporations and estimate the amount in taxes their products would produce for the government to be use to finance the health care reform.

Conclusion:

Healthcare Outsider estimates the government could collect $17.54 billion dollars each year from the four proposed sin taxes from these 12 companies that produce the most unhealthy substances in our foods. Making the reasonable assumption the 12 corporations comprise no more than ¼ of the total sales of sugar, salt, trans fat and saturated fat in the United States, this means the total collected sin tax each year will come to over $70 billion.

Trans Fats

The foods that are the absolute worst for people normally have some dietary function.  People need calories, cholesterol, and even fat in some measure. According to the USDA, the FDA, and most other nutritional guidelines, the only  substance or chemical commonly found in food that shouldn’t be eaten in any amount is trans fat.  It contributes to heart disease, obesity, increases “bad” cholesterol, and has no notable benefit whatsoever. Some studies have also linked transfats to Alzheimer’s, liver dysfunction, some forms of cancer, and infertility in women. It is effectively illegal in both Denmark and Switzerland to sell food products containing trans fat. In 2006, New York City banned restaurants from using anything greater than .5 grams per serving. Other major American cities, including Philadelphia and Chicago, have followed this example.

Using the NYC ban as a template, any food that contains .5 grams of trans fat or more is taxed 15% of the price.

1) Yum Brands – YUM owns a sizeable chunk of America’s secondary fast food chains with $10.8 billion in sales and nearly 350,000 employees. Almost all the trans fat Americans consume comes from artificially hydrogenated vegetable oils used in frying fast food, snack foods, and baked goods. Several of the biggest names on its roster rely especially heavily on fried food (KFC, A&W, Long John Silvers, and Taco Bell.) While you can find it in most fast food, deep-fried meat is one of the biggest ways we get trans fat into our systems.

Despite a portfolio entirely in fast food, Yum Brands owns KFC, which has a trans fat-free menu. However, their other major divisions – Long John Silvers and A&W – still have a menu full of items with 4-5 grams of the dangerous substance. Yum! had 3.7 billion in domestic sales last year. HCO calculates the sin tax will yield $636 million each year from Yum! Products.

2) McDonald’s (MCD) – The largest fast food corporation in the world is also the target of health proponents and politicians. The chain has had many novels and several feature films made about  the health consequences of consuming their products. McDonald’s might be the single largest culprit for trans fat distribution in the United States with its $22 billion in revenue in the last year.

McDonald’s has begun to modify its menu, and the company’s french fries are now trans fat-free in the states. This evolution towards healthy foods doesn’t extend to most of the chain’s meat-containing products, and an extra 15% tax for some of the popular items may limit the popular “dollar menu” to salads and yogurts. Because of its size and profitability, if any fast food chain is going to survive a cultural nutrition shift, it’s MCD. $4.2 billion domestic sales. Annual sin tax: $1.17 billion.

3) Wendy’s/Arby’s Group Inc. (WEN) – This is one fast food company that might be severely damaged by the fallout from the trans fat tax. The most popular menu items at Wendy’s and Arby’s (the burgers and roast beef sandwiches, respectively) all exceed the minimum of .5 grams.  With a relatively small 67,000 employees and $3.5 billion in sales, the conglomerate can’t afford to take a hit based on a new domestic tax and afford to compete with Mickey D’s. $3,198 billion in domestic revenue – sin tax revenue: $432 million.

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  1. Charles says:

    What a depressing article! One of the many dissapointing things about the direction we’re taking with regards to healthcare reform is the potential it allows for further and further intrusion into people’s personal lifestyle choice as we are becoming more and more tied to one another. If we are doing this, however, I think it’s a good idea to raise taxes on all people 60 years and older as those fuckers always need medical care. And we should also sin tax people for having sex because sex makes babies and kids always want check ups and vaccines and that shit aint free. Also maybe tax people who write blogs because sitting at computers increases risks of blood clotting and high cholestoral.

  2. Jackie says:

    Very interesting piece. Nice work. In addition to bringing in revenues, these kinds of strategies would keep us all healthier, which would also drive down health care costs.

  1. [...] (unlike costly and questionably effective ad campaigns) it is voluntary (unlike controversial sin-taxes and penalties) and while it costs employers some in the short term, a system which creates a [...]

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