Exploring Tax Policy to Advance Population Health, Health Equity, and Economic Prosperity Proceedings of a Workshop—in Brief (2018) / Chapter Skim
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Exploring Tax Policy to Advance Population Health, Health Equity, and Economic Prosperity: Proceedings of a Workshop - in Brief
Exploring Tax Policy to Advance Population Health, Health Equity, and Economic Prosperity: Proceedings of a Workshop - in Brief
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Magnan provided background information about the roundtable, introduced the workshop planning committee, and provided a brief introduction to tax policy as an influence on population health. Magnan commented that the focus on tax policy reflected an interest in learning how the abundant wealth across the United States could be directed to deliver dependable sources for equitable health and well-being.
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Mallya drew attention to the workshop materials containing a figure describing tax policy options (see Figure 1) and said that there are tax implications beyond those of "sin" taxes to be considered.
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Mallya referred to a Bipartisan Policy Center paper that is informative about the low-income housing tax credit and its health effects.4 UNDERSTANDING THE FISCAL ENVIRONMENT OF THE STATE BUDGETS Christopher M Brown of PolicyLink moderated the next session on understanding the fiscal environment of state budgets with Nick Johnson of the Center on Budget and Policy Priorities (CBPP)
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. POTENTIAL OPPORTUNITIES FOR SHAPING INCENTIVES AND CREATING A PIPELINE OF FINANCING POPULATION HEALTH: EXPLORING "SIN" TAXES AND POPULATION HEALTH TAX CREDITS Panel moderator Kathy Gerwig of Kaiser Permanente prefaced her panelist introductions by noting that her organization is expanding what it counts as health care in recognition of the need to address the social, economic, and environmental social determinants of health, such as transportation and employment.
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In its planning, the campaign acknowledged that the old strategy was "the public health perfect, but politically bad option," which consisted of increasing the price of soda by 2 cents per ounce, having a dedicated tax or a retail tax that focused on raising taxes to curb demand/consumption, and defining success as an SSB price increase. However, he said, that strategy had failed 30 times.
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Becker explained that the information she presented about tax credits was going to be delivered through the example of a fictional state of Ourlandia contemplating tax credits as a mechanism to fund population health interventions. Becker reminded the audience that tax credits, also known as tax expenditures or "tax breaks," are one form of tax policy.
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. Becker responded that tax credits can be used to reduce the cost of population health investments by providing a return in the first year and reducing the risk for investors.
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In Colorado sin taxes on marijuana are funding behavioral health interventions for students, a population with high rates of suicide and substance use. De Biasi said that Colorado knew that delivering behavioral health services at the middle and high school level is an effective evidence-based intervention; this was combined with population health–based approaches that are multi-tiered, including the creation of positive school climates and the use of positive disciplinary practices.
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Lauren Shern, National Academies of Sciences, Engineering, and Medicine, served as the review coordinator. SPONSORS: This workshop was partially supported by Aetna Foundation, Association of American Medical Colleges, California Endowment, Dartmouth-Hitchcock Medical Center, General Electric, Health Partners, Kaiser Permanente, Kresge Foundation, National Association of City & County Health Officials, Nemours, New York State Health Foundation, NYU School of Medicine Department of Population Health, ReThink Health, Robert Wood Johnson Foundation, Samueli Institute, U.S.
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