I admit that I am biased. I have always had access to free
healthcare and so I like having it and can't really see why anyone would not want to have access to it. This is why I was a little confused as to why there was so much opposition to the
healthcare reform proposed in the States.
Ok maybe not so much that the insurance companies, hospitals and doctors have a problem with it ( it is their paycheck on debate
afterall), but it seems that opposition is also coming from more unlikely places. Major multinational food corporations like Campbell Soup and
Dunkin' Doughnuts are
joining the debate as well. These corporations are exerting their influence through hiring lobbyist to campaign for their interests in the senate on the
healthcare reform currently under review. There has been a large increase in total number of lobbyist since the bill was introduced in 2009, with roughly 1,700 companies and organizations hiring over 4,500 lobbyists (which is equivalent to 8 lobbyists for each
member of congress) (CBC, 2010). But what are the food companies' interests? Why are they opposed to the
healthcare reform?
Campbell Soup has taken issue specifically with the public health insurance option of the bill. This option would allow for a hybrid insurance system in which people would have the choice between a
publicly funded or private insurance options. The rationale behind the public insurance option was to make the
healthcare insurance fees more competitive, affordable and therefore, accessible for the average public. Campbell Soup has targeted the public insurance option because it says that small and medium sized companies will dump their private insurance plans and this will result in higher rates for larger companies like Campbell Soup (CBC, 2010). This company, and others who also lobbied against the public option were
successful in removing it from the bill in the end.
Dunkin' Doughnuts
lobbied against a more obvious provision of the
healthcare reform bill - the proposed
sweetened beverage tax to help fund the
healthcare reform. Lobbyist from 21 companies spent approximately $24 million on opposition to this tax which would include beverages such as soda, juice drinks and chocolate milk (
Spolar & Eaton, 2009). Some of that money was spent on a national add campaign and on the promotion of a newly formed
coalition called A
mericans Against Food Taxes (
Spolar & Eaton, 2009). The group is self-identified as "responsible individuals, financially-strapped families, [and] small and larger companies", however, its 400+
members are dominated by large multinational corporations like Burger King, Coca Cola,
Pepsico, etc (
Spolar & Eaton, 2009). The argument given by these corporations is that the tax "would unfairly single out one type of product" (only one of many that causes obesity) "and would be a particular burden on low-income people, who can least afford to pay a few cents more per can or bottle" (
Spolar & Eaton, 2009). The companies were
successful in
eliminating the proposal as an option for funding in the bill, although discussion about a
sweetened beverage tax
separate from the
healthcare reform is ongoing. There is too much evidence of soda's contribution to the epidemic of obesity. For example, a report by the New England Journal of Medicine in 2009 found that such beverages account for 10 to 15% of the calorie intake by children and adolescents and that for "each extra can or glass of sugared beverage consumed per day, the likelihood of a child becoming obese increases by 60 percent" (
Spolar & Eaton, 2009).
My disbelief in the reasoning behind and the companies that are choosing to oppose the US
healthcare reform stems from the fact that the motivation behind all of this is so selfish. The companies claim to represent low-income people and cash-strapped families by opposing a reform that is meant to help
alleviate some of the health inequities
faced by these same populations. Their interests are so obviously self-serving. And the most frustrating part is that the large funds they are dumping into lobbying against parts of the
healthcare reform are paying off, as the bill is being shaped according to their concerns (i.e. public insurance option and
sweetened beverage tax taken out of bill).
Joeseph Eaton of The Centre for Public Integrity further evidences this by describing how the bill has been changed to have less cost cutting measures since it was first introduced and directly contributed this change as an effect of lobbying. I guess as a Canadian I feel "safe" because my
healthcare is free and protected by the government... but lobbying is not something exclusive to the US. So the effectiveness of these
companies in molding the US
healthcare reform to fit their needs makes me wonder... how much influence do these
multinational food companies hold, and what else can they change???
References
CBC. (2010, February 25). US healthcare. As it happens. Retrieved from http://www.cbc.ca/radioshows/AS_IT_HAPPENS/20100225.shtml.
Spolar, C., Eaton, J. (2009, November 4). Food lobby mobilizes, as soda tax bubbles up.
HuffPost Investigative Post. Retrieved from
http://www.huffingtonpost.com/2009/11/04/soda-tax-mobilizes-food-l_n_345840.html.