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Framing health taxes: learning from low- and middle-income countries
Health taxes are effective policy instruments to save lives, raise government revenues and improve equity. Health taxes, however, directly conflict with commercial actors’ interests. Both pro-tax health advocates and anti-tax industry representatives seek to frame health tax policy. Yet, little is k...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10583086/ https://www.ncbi.nlm.nih.gov/pubmed/37832966 http://dx.doi.org/10.1136/bmjgh-2023-012955 |
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author | Lwin, Kaung Suu Koon, Adam D Rasanathan, Kumanan Ahsan, Abdillah Erku, Daniel Mialon, Melissa Perez-Leon, Silvana Singh, Arti Mirza, Zafar Zuleta, Mario Adhikari, Shiva Raj Acharya, Yubraj Dao, Son The Rasheed, Sabrina Paul, Jeremias Marten, Robert |
author_facet | Lwin, Kaung Suu Koon, Adam D Rasanathan, Kumanan Ahsan, Abdillah Erku, Daniel Mialon, Melissa Perez-Leon, Silvana Singh, Arti Mirza, Zafar Zuleta, Mario Adhikari, Shiva Raj Acharya, Yubraj Dao, Son The Rasheed, Sabrina Paul, Jeremias Marten, Robert |
author_sort | Lwin, Kaung Suu |
collection | PubMed |
description | Health taxes are effective policy instruments to save lives, raise government revenues and improve equity. Health taxes, however, directly conflict with commercial actors’ interests. Both pro-tax health advocates and anti-tax industry representatives seek to frame health tax policy. Yet, little is known about which frames resonate in which settings and how framing can most effectively advance or limit policies. To fill this gap, we conducted qualitative research in 2022, including focus group discussions, in-depth interviews, document reviews and media analysis on the political economy of health taxes across eight low-income and middle-income countries. Studies captured multiple actors constructing context-specific frames, often tied to broader economic, health and administrative considerations. Findings suggest that no single frame dominates; in fact, a plurality of different frames exist and shape discourse and policymaking. There was no clear trade-off between health and economic framing of health tax policy proposals, nor a straightforward way to handle concerns around earmarking. Understanding how to best position health taxes can empower health policymakers with more persuasive framings for health taxes and can support them to develop broader coalitions to advance health taxes. These insights can improve efforts to advance health taxes by better appreciating political economy factors and constraining corporate power, ultimately leading to improved population-level health. |
format | Online Article Text |
id | pubmed-10583086 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-105830862023-10-19 Framing health taxes: learning from low- and middle-income countries Lwin, Kaung Suu Koon, Adam D Rasanathan, Kumanan Ahsan, Abdillah Erku, Daniel Mialon, Melissa Perez-Leon, Silvana Singh, Arti Mirza, Zafar Zuleta, Mario Adhikari, Shiva Raj Acharya, Yubraj Dao, Son The Rasheed, Sabrina Paul, Jeremias Marten, Robert BMJ Glob Health Analysis Health taxes are effective policy instruments to save lives, raise government revenues and improve equity. Health taxes, however, directly conflict with commercial actors’ interests. Both pro-tax health advocates and anti-tax industry representatives seek to frame health tax policy. Yet, little is known about which frames resonate in which settings and how framing can most effectively advance or limit policies. To fill this gap, we conducted qualitative research in 2022, including focus group discussions, in-depth interviews, document reviews and media analysis on the political economy of health taxes across eight low-income and middle-income countries. Studies captured multiple actors constructing context-specific frames, often tied to broader economic, health and administrative considerations. Findings suggest that no single frame dominates; in fact, a plurality of different frames exist and shape discourse and policymaking. There was no clear trade-off between health and economic framing of health tax policy proposals, nor a straightforward way to handle concerns around earmarking. Understanding how to best position health taxes can empower health policymakers with more persuasive framings for health taxes and can support them to develop broader coalitions to advance health taxes. These insights can improve efforts to advance health taxes by better appreciating political economy factors and constraining corporate power, ultimately leading to improved population-level health. BMJ Publishing Group 2023-10-13 /pmc/articles/PMC10583086/ /pubmed/37832966 http://dx.doi.org/10.1136/bmjgh-2023-012955 Text en © World Health Organization 2023. Licensee BMJ. https://creativecommons.org/licenses/by/3.0/igo/This is an open access article distributed under the terms of the Creative Commons Attribution IGO License (CC BY 3.0 IGO (https://creativecommons.org/licenses/by/3.0/igo/) ), which permits use, distribution,and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article’s original URL. |
spellingShingle | Analysis Lwin, Kaung Suu Koon, Adam D Rasanathan, Kumanan Ahsan, Abdillah Erku, Daniel Mialon, Melissa Perez-Leon, Silvana Singh, Arti Mirza, Zafar Zuleta, Mario Adhikari, Shiva Raj Acharya, Yubraj Dao, Son The Rasheed, Sabrina Paul, Jeremias Marten, Robert Framing health taxes: learning from low- and middle-income countries |
title | Framing health taxes: learning from low- and middle-income countries |
title_full | Framing health taxes: learning from low- and middle-income countries |
title_fullStr | Framing health taxes: learning from low- and middle-income countries |
title_full_unstemmed | Framing health taxes: learning from low- and middle-income countries |
title_short | Framing health taxes: learning from low- and middle-income countries |
title_sort | framing health taxes: learning from low- and middle-income countries |
topic | Analysis |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10583086/ https://www.ncbi.nlm.nih.gov/pubmed/37832966 http://dx.doi.org/10.1136/bmjgh-2023-012955 |
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