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Addressing Structural Racism, Bias, and Health Communication as Foundational Drivers of Obesity Proceedings of a Workshop Series (2022) / Chapter Skim
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8 Innovative Policy Solutions
Pages 61-68

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From page 61...
... • Education and willpower are insufficient to confront the rising tide of inexpensive, calorie-dense offerings in the cur rent food environment; it is critical also to improve the availability and accessibility of healthy food choices for all populations. (Bassett)
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From page 62...
... In recognition of the inequities these producers experienced, the IAC was directed to provide them with direct assistance and support, as well as to support relevant policy developments. Tribal producers were not envisioned as original stakeholders in the U.S.
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From page 63...
... Duren next described challenges faced by the coalition in effectively translating the report to help policy makers understand how the proposed policy changes would benefit tribal producers. He observed that stakeholders in federal government programs often use shorthand phrases and acronyms to communicate program data, which he said had to be translated and supported with additional context to help convey the data's meaning.
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From page 64...
... This has a double benefit, Duren explained, as it gives program recipients the opportunity to access foods that are traditional to their region while also helping local producers build their capacity by connecting them with a federal government program. Duren reported that the IAC has been working on implementation of the Farm Bill's provisions, which he said is at least half the battle (the other half being enactment/passage)
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From page 65...
... Bassett went on to describe several policy approaches pioneered by the NYC Department of Health, beginning with its 2006 requirements for chain restaurants to post calorie information on their menus and for all restaurants to remove trans fats from most of their menu offerings. In 2008, she continued, the city used executive authority to establish nutrition standards for snacks and beverages purchased by the city and brokered an agreement to remove sugary beverages from public school vending machines.
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From page 66...
... He also believes it would be valuable for federal dietary guidance to include examples of healthy foods representing the diverse cultures of people who live in the United States. To illustrate these points, he recounted that when tribal stakeholders participated in policy development and advocacy efforts related to the FDPIR, the result was an increase in program recipients' access to more healthy and traditional food options.
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From page 67...
... With respect to economic activity on tribal lands, he continued, tribes provide and finance services for which they do not necessarily have a standard or established tax base because tribal citizens are also citizens of their states and the United States. This situation, he maintained, creates the potential for dual taxation if tribal governments decide to issue taxes on the same services or goods that are taxed by the state and/or federal government.
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From page 68...
... The only recourse is legal action to overturn laws that preempt local authority, she said, and she cited preemption along with corporate freedom of speech as two key arguments used to oppose such public health approaches as taxes on sugary drinks and marketing restrictions on unhealthy foods and beverages. Silvera added that this issue relates to voting rights as an upstream determinant of health because eligibility to vote in state elections can influence who is elected to state government and what policies they support, which may relate to preemption.
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Key Terms

  • farm bill
  • tribal governments
  • healthy food
  • tribal stakeholders
  • policy approaches

  • food supply
  • food choices
  • usda programs
  • policy changes
  • policy development

  • tribal organizations
  • tribal agriculture
  • health commissioner
  • local producers
  • building support

  • native farm
  • sovereign governments
  • human rights
  • reminded participants
  • nyc department

  • intertribal agriculture
  • chain restaurants
  • dietary guidance
  • agriculture council
  • bill coalition

  • equitable opportunities
  • rising prevalence
  • round policy
  • affected tribal
  • policy cycle


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