22
Feb
2017

Obesity: individual responsibility isn’t enough

by Hal Swerissen


Doctor examining  patient obesity on light backgroundPublished by John Menadue, 22 February

When individual choices cost tax payers $5.2 billion in extra health and welfare services for obesity, the market has failed. When the market fails, it is legitimate for government to act.

The calls to curb obesity continue to mount. But the Turnbull Government claims government action on obesity would be nanny statism. The Deputy Prime Minister and the Assistant Minister for Health have made it clear that they think it is up individuals, not government, to take responsibility for what they eat and drink and how much they exercise. But the evidence is clear. Leaving it to individuals alone will not fix the problem.

Individuals are not solely responsible for their own choices. Not everyone is equally well informed. Children can’t be held responsible for their choices in the same way as adults. We have inbuilt biological preferences for salty, sweet and fatty food that are hard to resist.

Despite educational campaigns, weight loss programs, bariatric surgery, food labelling and the exhortations of government ministers, our level of physical activity has reduced, we continue to overeat, and salty, fatty and sugary food make up way too much of our diet.

If people who are obese met all their own health and welfare costs, then perhaps we could leave it to individuals to make their own choice. But as we found in our report on a sugary drinks tax, obesity costs taxpayers around $5.2 billion each year in extra health and welfare services.

The campaign for government action from health and consumer organisations is strengthening. Most recently the Council of Presidents of Medical Colleges have called for comprehensive plan to address obesity, including increased regulation and taxation to reduce consumption of unhealthy food and drink.

Internationally initiatives to introduce taxes on sugar, fat and salt are growing. Despite current resistance, experience suggests that, in time, Australian governments will increasingly use incentives, sanctions and regulatory mechanisms to curb obesity.

When individual choices cost tax payers $5.2 billion in extra health and welfare services for obesity, the market has failed. When the market fails, it is legitimate for government to act. Long ago we agreed that the costs for individuals and society caused by alcohol and tobacco consumption should be prevented and recovered through regulation and taxation. It is hard to argue against the same approach for obesity.