Table 2.
Non-industry related advocates | Industry-related advocates | Critics | |
---|---|---|---|
Overall framing of the debate | Need to reduce overall population consumption to address alcohol-related harms Alcohol-related harms have increased hugely over last three decades | Need to target those who are behaving irresponsibly Alcohol misuse is a serious issue | Need to target those who are behaving irresponsibly Problem drinking is reducing in last few years |
Drivers of the alcohol problem | Increasing affordability of alcohol, particularly in the off-sales environment | Increasing affordability of alcohol but must remember need for individual responsibility | Culture of irresponsible consumption Problem people: young binge drinkers and dependent drinkers |
Arguments about minimum unit pricing | Evidence demonstrates is effective Essential part of multi-component strategy Targets those at greatest risk of harm Reduces health inequalities, as poor at greatest risk of harms Will improve drinking patterns, with lower strength drinks and move to licensed premises Will lead to economic gains due to less absenteeism | Targets those who misuse alcohol Complements education Experience in Canada shows it does not harm industry | Will not change behaviour of the most problematic drinkers Alternative solutions: Education and licensing law (changes had recently occurred) Will harm businesses Will punish responsible drinkers Will punish the poor Will lead to illicit alcohol trading Questions around legality |
Table summarises material originally presented in (Katikireddi, Bond, & Hilton, 2014).