- Aren't fat people just lazy?
- Exercise is the issue not what we eat
- Isn't this the ultimate example of nanny state?
- Will you fund drug X
- Will you build more hospitals
- I can't see how much you are investing in health. Come on bribe me! What's the number?
- How will the tax and rebate work?
One third of young people are overweight or obese, and those young people are 3-10 times more likely to go on to be obese as adults. Body size is regulated by powerful hormones and different people have quite different 'natural' body sizes so we shouldn't judge anyone on their size. We should encourage everyone to be healthy for their size, including diet and exercise.
You can read more on this issue here: http://morganfoundation.org.nz/ten-reasons-why-obesity-isnt-just-a-matter-of-individual-choice/
The nanny state is what we have at the moment - our health system picking up the pieces for people that don't look after themselves. At least with a junk food tax those people that continue to eat junk food will contribute more.
That is up to Pharmac. Currently Pharmac makes funding decisions independently based on the health returns that different drugs provide. We want that system broadened over our whole health system so that we can be certain we are getting the best return on each dollar invested.
The future of healthcare isn't more hospitals, it is more prevention. Every dollar we spend on prevention gets four times the benefits we get from a dollar spent on hospitals. We need to care for people in their communities, and keep them out of hospital.
If we want to live longer healthier lives we need to invest more of our health budget in prevention. At the same time we have to have a conversation about what we can realistically expect from our health system now and in the future. For example should we be investing more in invasive operations that keep people alive for a matter of weeks, or end of life care?