Calls for 'fat tax' to fund healthcare
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People who eat fatty food and drink sugary soft drinks could be taxed for their unhealthy habits.
A fat tax, or "innovative financing mechanism" idea was proposed by Dr Robert Fryatt, an economic adviser to the minister of health, at a National Health Insurance conference in Johannesburg yesterday.
Fryatt, who was a strategic planner at the World Health Organisation, said the fat tax concept was "getting clear support" from many countries around the world.
Other ways of raising funds to implement the universal healthcare programme were to further increase alcohol and cigarette tax.
Fryatt said that these sin taxes "can reduce consumption and bring in a considerable amount of revenue".
Mark Heywood, human rights activist from the lobby group Section 27 said the state is ''justified to raise money and change behaviours.
"We know it hits the poor, but it hits them on something that is bad for them anyway," he said.
Deputy director-general of public finance Andrew Donaldson suggested that any further increases on cigarette taxes were unlikely to be effective in raising revenue because of the high levels of cigarette smuggling in the country.

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Calls for 'fat tax' to fund healthcare
For Commenters Consideration | Please stick to the subject matterCOMMENTS [34]
BornintheRSA
Posted 169 days agoIn practice, the taxes raised will not necessarily be used for health purposes. Just as we have no idea where the carbon tax on vehicles is being directed to.
Sounds like a bad idea but yes an "innovative financing mechanism" for the politicians.
Sillysonofa
The fact that the taxes will "not necessarily be used for health purposes" is a separate issue, which does not change the fact that this sort of funding is the way to go. I certainly don't want to be paying for people who have made bad decisions in regards to their bodies and health.
RedCoat
"We don't need a nanny state" it is our right to choose is it not? The tax might be an idea, but those people providing for our own medical well being should then be exempt from the tax according to your arguement?
I wholeheartedly agree that i should not have to pay for someone elses unhealthy choices though.
Sillysonofa
I strongly believe that all people should benefit from quality health care. I haven't been back long enough to experience South Africa's health infrastructure, but from all accounts it sounds dismal. If this processes improves the system and provides health care that meets minimum standards of quality, I'm all for it. There are clearly some issue to sort out within national and local government to improve efficiencies, get the skills in place to make it all work and ensure we get value for our money. Doing this may decrease the need for taxes elsewhere, but the burden on society create by those who are obese (UK estimated a direct cost of GBP4.2 billion) or prone to substance abuse is massive. And South Africa has it's fair share of drunken porkies running around. If you choose to abuse, you choose to pay the extra cost.
I haven't had a close look at how this is all being implemented, but I agree that if someone is using private health care, some form of rebate should be looked at as the person is no longer a burden to the state.
the_original_MommaCyndi
RedCoat
Well put.
The UK's national health system is a good system but has been in decline for years, the norm in the UK is to utalise the NHS as opposed to private, because private medical care is really the realm of the rich there.
You could apply the same argument to SA, but private care here is what i think everyone wants to have, even with the implementation of an NHS scheme here, i think most will still aspire to private care.
I do agree that if you dont care about your own health then do not expect others to pay for it, but in the UK that is how it has worked since its implementation, liberal attitudes to your fellow man and all......
UDFSupporter
benpetzer
Posted 169 days agoseanred
Posted 169 days agoRedCoat
Posted 169 days agoLMFAO a PC term for a new tax......love it!
ooooooooo
Posted 169 days agoPhilK
Posted 169 days agoThey either strain medical aid and other health care services themselves by throwing away the thousands they spend on medical care by destroying their health in turn be it lack of exercise, being obese, smoking, drinking, risky sexual behaviour, eating junk and enjoying it. That fat biker chick should pay more for her risky lifestyle than what I do. Tax may not end up in the right place but it would make her realise how she waste.
MagMag007
Posted 169 days agoBornintheRSA
RedCoat
Effective January 1st, 2012 your penis will be taxed according to size. The brackets are as follows:
10"- 12" Luxury Tax..........R300.00
8"- 10" Pole Tax.............R250.00
5"- 8" Privilege Tax.........R150.00
4"- 5" Nuisance Tax..........R 30.00
Males exceeding 12" must file under capital gains. Anyone under 4" is eligible for a refund. PLEASE DO NOT ASK FOR AN EXTENSION!!!
Sincerely, Ivor Biggun.
*****NOTE***** We are still waiting for answers for the following questions:
- Are there penalties for early withdrawals? - What if one's penis is self employed? - Do multiple partners count as a corporation? - Are condoms a deductible expense as work clothes? - Is there an additional tax if you are not circumcised?
GregQuinn
Posted 169 days agoAnd what are they going to do with this extra money they get from this tax? I think we all know the answer to that. Countries that implement taxes for certain reasons give a detailed breakdown of how that tax money is used and the results.. Here we get taxed on things such as the 'carbon emissions tax' but what has been done with all that money? How has it been contributed to the environment?
ianm.anning
MsLee
Posted 168 days agoCan't believe Section 27 is supporting this nonsense!
As for the cost aspect of the argument, private medical aids already take individual health issues into account in their actuarial reckonings. The point about state services, though, is that ALL people are equally entitled to them, because the role of the state is to provide equitable access to social services. If fat people are taxed now, who's next? Blue-eyed people? Xhosa people?
RedCoat
I think you might be onto something here, some kind of tax per kg per houshold :)
GregQuinn
Rightway
Posted 168 days agoGym,s membership should be subsidised and all government officials cars should be confiscated. They can walk to work. Let the MEC,S start by there example and stop with parties and big feasts. They can also drop there blue light escorts and start walking.
Spitfire
Posted 168 days agoBernardAshkenazi
Posted 168 days agothe_original_MommaCyndi
Posted 168 days agoIf you are very physically active then your body requires fat as a fuel source. It is the highest energy source and a valuable one.
The brain requires sugar in order to function. So now define 'sugary'. Is it a teaspoon of sugar in your tea or an energy drink after training?
Unless they are considering the idea of checking everyone's BMI every week then this is just a pathetic waste of time.
As for the alcohol and cigarette taxes, well that is just ridiculous. Just look at Russia. Half the population is blind from drinking back yard moonshine. They put the vodka tax up and the cottage industries flourished. I really don't see how having half the population blinded by badly made mampoer is going to help the healthcare industry. Ja, and we already have more smuggled cigarettes in the country than legal ones so that is just going to become a lot more prevalent.
Chico
Posted 168 days agoIf you're thin, you get sick later in life, you need medical care for a while, and then you die.
Is the cost over a life-time significantly different?
Sillysonofa
BridgetJohnsen
Posted 168 days agothe_original_MommaCyndi
Its not what he is suggesting though. He just wants to tax everyone (fat or not) that has a pizza and coke on movie night.
DanMeyer
Posted 168 days agoRedCoat
the_original_MommaCyndi
Water, in excess, is toxic. That doesn't mean that drinking water should be discouraged.
BarryPotgieter
Posted 168 days agoGus
Posted 168 days agorasefatee
Posted 163 days ago