Which Public Policies Would Really Fight Obesity?

If society is serious about curbing obesity, especially in children, then it must adopt policies that confront obesity rates, which are a growing public health concern.
Which Public Policies Would Really Fight Obesity?
A woman passes an advertisement outside a fastfood outlet in Bristol, England, on Jan. 7, 2013. Matt Cardy/Getty Images
Updated:

If society is serious about curbing obesity, especially in children, then it must adopt policies that confront obesity rates, which are a growing public health concern, argues legal ethics scholar Deborah Rhode.

“Obesity has a dramatically adverse effect on a population’s health,” says Rhode, professor or law and director of the Center on the Legal Profession and director of the Program in Law and Social Entrepreneurship at Stanford University.

She notes that the United States has the world’s highest per capita obesity rate, and that over the last three decades the percentage of children who are obese has risen to 17 percent.

“A third of children are also overweight,” Rhode says. “The prevalence of obesity among adults has more than doubled; about a third of adults are obese and another third are overweight.”

Giant Drinks and Lawsuits Won’t Work

In her analysis, she examines the track record of government intervention on obesity and evaluates a range of policy options such as caloric disclosure requirements, taxes, sugary drink bans, food stamp modifications, zoning regulations, marketing to children, physical education, litigation, and education.

“In principle, the United States is deeply committed to finding solutions to the rise of obesity and its health consequences. In practice, however, public policy has fallen short,” Rhode says.

Almost 80 percent of Americans consider adult obesity to be a major public health problem, she says, but many policy responses have proven controversial, especially in the courts at the federal, state, and local levels.

“At the same time that obesity rates have been rising sharply, many jurisdictions have resisted, or rolled back, strategies such as soda taxes or regulation of advertising directed at children,” Rhode writes.

Rhode says that the financial and political costs of anti-obesity policies are critical to consider. For example, simply suing people for misleading marketing may not be a solution. “From this perspective, litigation is a dubious investment, given the high price of lawsuits, their evidentiary difficulties, and the likelihood of political backlash.”

And though litigation can help raise public awareness and deter such marketing practices, it is unlikely to play a major role in obesity prevention, she says. Other blunt strategies such as bans on supersized soft drinks are easily evaded and politically unpopular.

Better Strategies

By contrast, Rhode argues, strategies such as public education, greater access to parks, and physical education programs are less controversial and likely more effective. Public awareness is paramount, she says. One way to spotlight the obesity issue is through high-profile awareness campaigns subsidized through additional taxes on sugar-sweetened beverages.

These taxes, she says, can both raise revenue and deter the consumption of sugary products. Rhode says that polling data suggests these taxes are politically acceptable if citizens know that the funds raised are used for obesity prevention.