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Framing health taxes

Learning from low- and middle-income countries

Datos Bibliográficos

ID21878995
AutoresKaung Suu Lwin (0000-0002-0368-7018, Alliance for Health Policy and Systems Research), Adam D Koon (0000-0002-9031-9810, Johns Hopkins University, autor de correspondencia), Kumanan Rasanathan (0000-0001-9347-1765, Alliance for Health Policy and Systems Research), Abdillah Ahsan (0000-0002-3543-7574, University of Indonesia), Daniel A Erku (0000-0002-8878-0317, Griffith University), Daniel Erku (University of Gondar), Mélissa Mialon (0000-0002-9883-6441, Trinity College Dublin), Silvana Pérez-León (0000-0003-4860-587X, Universidad Peruana Cayetano Heredia), Arti Singh (0000-0002-7460-0119, Kwame Nkrumah University of Science and Technology), Zafar Mirza (0000-0001-9159-8869, Shifa Tameer-e-Millat University), Mario Zuleta (0009-0001-0224-3423, City, University of London), Shiva Raj Adhikari (0000-0002-4642-8606, Tribhuvan University), Yubraj Acharya (0000-0002-9003-636X, Pennsylvania State University), Son The Dao (Thuongmai University), Sabrina Rasheed (0000-0002-7444-200X, International Centre for Diarrhoeal Disease Research), Jeremias Paul (World Health Organization), Rainer Martens (0000-0002-2416-2309, Alliance for Health Policy and Systems Research)
Año2023
Volumen8
NúmeroSuppl 8
Páginase012955
Fecha de publicación2023-10-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaBMJ Global Health (JOURNAL)
Identificadores de la revistaISSN: 2059-7908 • E-ISSN: 2059-7908
EditorialBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2023-012955
PMID37832966
OpenAlexW4387612605
IdiomaEN
Citas recibidas6
Referencias citadas42

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

Economic growth · Economics · Health care · Health equity · Political science · Public economics · Tax policy · Tax reform · Tax revenue · Global Maternal and Child Health · Global Public Health Policies and Epidemiology · Health disparities and outcomes · Health Policy

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Obras citantes distintas6
Citas por año3
Intervalo de citas2024 - 2026 (3)
Velocidad de citacióncurrent
Altamente citadoNo
Tipos de citaNeutras: 5
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