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Re:America’s Looming Primary-Care Crisis by katbyte on Saturday July 25, 2020 @11:18PM (#23954160)
> And “liquid sugar” isn’t a problem. People choosing to consume too much of it is. I am perfectly healthy, normal weight, plenty of exercise and I like to drink Coke. Should I have to pay a tax or higher prices because some fat-ass makes the choice to drink it like water?

yes. we tax darts and alcohol - the medical cost of sugar probably well exceeds all risky outdoor activities by orders of magnitude. ~200 climbing accidents a year vs https://www.forbes.com/sites/danmunro/2013/10/27/sugar-linke...

Re:America’s Looming Primary-Care Crisis by mensetmanusman on Sunday July 26, 2020 @09:26AM (#23956903)
‘Should I have to pay for other people’s unhealthy behavior’ is the main debate about healthcare...
Re:America’s Looming Primary-Care Crisis by sintax2 on Saturday July 25, 2020 @10:05PM (#23953848)
Surely you could afford an extra $0.10 here and there if it means millions of people would make better choices, yeah? Taxes don't work like you think they do. If you have a Coke now and then, it doesn't really affect you. If you drink three a day, it starts to add up.

If this is unpalatable, we could always just tax Coca Cola directly so they can pay for their sugar-induced health crisis.

Re:America’s Looming Primary-Care Crisis by gruez on Saturday July 25, 2020 @10:34PM (#23953959)
>It would also incentivize the government to restrict all manor of activities in the name of “health.” Want to go rock climbing? Pay a tax. Want to ride a motorcycle? Pay a tax.

Okay I'll bite. Why shouldn't we do that? If you're going to 28x your death risk[1] by participating in a purely non-essential activity, why should you be able to externalize the costs to others?

>Perhaps instead of taxing food, we instead tax obesity. Put the responsibility on the individual.

That's actually not a bad idea. We kinda already have that for smoking, in the form of higher insurance premiums for smokers.

[1] https://en.wikipedia.org/wiki/Motorcycle_safety#Crash_rates_...

Re:America’s Looming Primary-Care Crisis by mandelbrotwurst on Saturday July 25, 2020 @11:04PM (#23954089)
Who is going to decide which activities are "non-essential" ? How will they go about determining whether there are more benefits or costs associated with a particular activity?

Rock climbers can fall - they also build physical and mental fitness as well as learn to work together with and trust others in a high pressure environment.

Motorcyclists can crash, but they're choosing a form of transport that is far more efficient than a single passenger vehicle in many ways (fuel consumption, parking requirements, traffic impact).

People are already incentivized by nature to sort out on their own what sorts of activities will allow them and their communities to flourish. Let them. We will all be better for it.

Re:America’s Looming Primary-Care Crisis by creato on Sunday July 26, 2020 @01:05AM (#23954577)
Why does anyone even need to decide? Just look at the amortized costs for any activity, whether it is "essential" or not. Essential things still cost money. The only thing you might want to do is provide a rebate for taxes on "essential" activities. This still provides the market pressure for people to minimize costly activities (but doesn't ban it), while being net zero impact to revenue.

Someone mentioned there are 200 climbing accidents a year. Figure out how much that costs, and bake it into the cost of some climbing specific requirement (climbing permits? equipment? gym memberships?). I doubt the cost will be significant. And if it is, maybe we should rethink climbing as an activity.

Same with sugar. Figure out how much added sugar actually costs in terms of health impacts, and tax sugar appropriately. A key point of this strategy is that if you aren't consuming a large amount of e.g. soda, as a parent post claimed, then the tax is negligible anyways.

> Motorcyclists can crash, but they're choosing a form of transport that is far more efficient than a single passenger vehicle in many ways (fuel consumption, parking requirements, traffic impact).

Motorcycles aren't actually that efficient. A prius gets better gas milage than many (most?) motorcycles: https://www.latimes.com/news/la-hy-throttle2apr02-story.html

At least a prius has a chance of carrying more than one person.

Re:America’s Looming Primary-Care Crisis by gruez on Saturday July 25, 2020 @11:25PM (#23954191)
>Who is going to decide which activities are "non-essential" ?

A nonpartisan government panel of scientists. I realize with the current political climate in the us, that might be a tall order, but that doesn't immediately mean the idea should be dismissed.

>How will they go about determining whether there are more benefits or costs associated with a particular activity?

Cost benefit analysis based on empirical evidence?

>People are already incentivized by nature to sort out on their own what sorts of activities will allow them and their communities to flourish. Let them. We will all be better for it.

The examples you've listed lie on a spectrum. Indoor rock climbing probably isn't too negative, all things considered. OTOH motorcycles is much harder to defend. You're really going to risk your life to save a few grand a year on gas and parking?

Like I said before none of this is new. The government has already deemed tobacco to be more harmful than good. As such, it's heavily taxed. I don't find it outrageous to tax things that are similarly obviously more harmful than good.

Re:America’s Looming Primary-Care Crisis by Reelin on Sunday July 26, 2020 @12:19AM (#23954408)
What you describe is the polar opposite of freedom. It should be immediately dismissed not due to the current political climate but instead because it would establish the ultimate nanny state full of red tape and bureaucracy.

No one should be arbitrating personal activities unless they directly and immediately impact those around you.

(And for the record, I vehemently disagree with sin taxes such as those for alcohol and tobacco. Legally requiring health warnings on the packaging, on the other hand, makes a lot of sense to me. Also note that alcohol and tobacco have much more consistent and severe health impacts than, say, refined sugar.)

Re:America’s Looming Primary-Care Crisis by NicoJuicy on Saturday July 25, 2020 @10:07PM (#23953856)
> Perhaps instead of taxing food, we instead tax obesity. Put the responsibility on the individual.

You probably have better genes than my family. Lookup endomorph body type or reasons of reduced metabolism.

Evolution has inversed survival of the fattest, so it seems ;)

Re:America’s Looming Primary-Care Crisis by mlavin on Saturday July 25, 2020 @10:35PM (#23953965)
>endomorph body type

Somatypes are an ancient pseudoscience, while caloric intake relative to TDEE doesn't lie.

Re:America’s Looming Primary-Care Crisis by msla on Sunday July 26, 2020 @12:08AM (#23954362)
Think it through a bit more:

If obesity were taxed, there would be pressure to put loopholes in those taxes. Somatypes and "thrifty genome" and so on would be perfect hooks to hang those loopholes on. Result? Questioning that science becomes politically untenable, at least in some universities and research labs. After all, "the grants just follow the illiction returns", as the poet once said:

https://www.thecrimson.com/article/1987/9/29/borking-up-the-...

Re:America’s Looming Primary-Care Crisis by NicoJuicy on Sunday July 26, 2020 @06:35PM (#23960686)
Completely ignoring some persons that can eat everything they want and don't gain weight.

I lost 25 kg. In 6 months, with counting calories and all. But the amount of effort I had to deliver for a normal weight is almost exponentially more

1 hour strength training per day

1 hour cardio in the morning

No alcohol

6 * eating small portions

8 hours of sleep

1 cheat meal per week

Every day, no exceptions.

Re:America’s Looming Primary-Care Crisis by dialamac on Saturday July 25, 2020 @10:55PM (#23954046)
That’s pseudoscience.

Regardless of any minor variability in metabolism, you literally cannot get fat from things you don’t put in. This is like high school or middle school physics. This is by far the biggest factor in obesity (consumption).. such that everything else is essentially irrelevant. People with actual metabolism disorders either die or require replacement of enzymes, whether that’s type 1 diabetes or the rarer metabolism disorders.

If you eat high volume foods with calories at or below what you’re expending, you will not get fat, full stop. Starving people aren’t fat.

There are of course behavioral differences that dictate consumption, some of which are genetically influenced, but metabolism has not much to do with it.

Re:America’s Looming Primary-Care Crisis by fomine3 on Tuesday July 28, 2020 @08:39PM (#23982262)
Yes, What people eat is most important but Is metabolism not influenced from genes?