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. 2022 Jun 30;100(9):570–577. doi: 10.2471/BLT.22.288104

Table 1. Synergies across health and finance policy concerns about health taxes.

Key health concerns Tax policy perspective Common objectives
Reduce consumption of health-harming products to reduce the burden of noncommunicable diseases: Reduce negative externalities and internalities through corrective taxes:
Health taxes should deter consumers from using products harmful to their health and encourage people towards healthier alternatives Health taxes should cover the social and personal costs of products harmful to health, without resulting in substitution with other harmful products Reduce costs to individuals and the health system
Raise revenue
Revenue generated can be used towards subsidizing healthy products or allocated to public health initiatives Health taxes should generate predictable revenue streams to meet overall government revenue targets Raise revenue
Equity impacts
Consumers of low socioeconomic status are disproportionately affected by noncommunicable diseases and will experience greater health gains through health taxes Health taxes should not increase the regressivity of the tax system by creating an unfair burden on lower-income households Promote equity
Economic impacts
Consumption of harmful products contributes to noncommunicable diseases and decreased individual productivity and participation in the labour force Health taxes should promote sustainable economic growth and not reduce a country’s overall employment or economic growth Ensure a healthy workforce and sustainable development that benefits society, economies and the environment
Tax administration
Health taxes should be supported by effective tax administration and not be undermined by illicit trade in harmful products Health taxes should be transparent and easy to pay and enforce Prevent illicit trade