lundi 11 avril 2011

Fat tax... Obésité et coûts de services de santé aux États-Unis


Topo et proposition d'un "fat tax" sur le site du Los Angeles Times...

"If an individual's body mass index isn't a purely personal matter, what is? We have the right to choose between healthy food or junk food, even if the latter is more likely to result in obesity and related health problems. But once our choices affect others, there's a natural conflict between individual freedom and social responsibility. In a nation where rising healthcare costs and diminished access to medical care are issues of grave concern, personal decisions are no longer strictly private. The treatment of obesity- and smoking-related disease is tremendously expensive, which in turns drives up health insurance premiums for everyone, as well as raising the costs for Medicaid, Medicare and health coverage for public employees.

These legitimate concerns have resulted in a raft of nanny-state proposals to shape the public's dietary habits by taxing this food or that drink or by outlawing free toys that accompany unhealthy children's meals at some restaurants. Such proposals raise inevitable questions of fairness and effectiveness. Does it make sense to tax a can of soda but not a fruit juice that contains more calories per cup and very little additional nutrition? Would a vitamin-fortified soda be exempt from the tax? And it's hard to figure out whether the bigger obesity culprit is a small order of fried chicken at a fast-foot outlet or a giant slab of prime rib at a pricey restaurant. Or, as many dietitians now think, maybe it's the carbs; has the time come for a public pasta tax? In any case, there is much uncertainty about whether such tactics would have any effect on the country's collective bulging belly."

http://www.latimes.com/news/opinion/opinionla/la-ed-obesity-20110411,0,3157293.story

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