Recognizing the ethical complexity of food policies and the role of the food industry.

IF 2.3 4区 医学 Q2 HEALTH POLICY & SERVICES
Safura Abdool Karim, Miriam Alvarado, Tess Johnson, Anne Barnhill
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Abstract

Restrictive food policies are often contentious and controversial. Supporters of these policies view them as imperative for achieving public health aims while some opponents view them as overly paternalistic, infringing on consumer choice and potentially inequitable. As a consequence, their ethical status and permissibility are both contested and of importance in decision-making for policy. Traditional ethical analysis of these interventions has examined the ethical implications of the policies according to a direct, linear view of the relationships between government and consumer and the impact of government policy on the consumer. However, this approach to ethical analysis fails to take into account the role of the food industry as the subjects of the policies and intermediaries between government and consumers in the implementation and effectiveness of the policies. The actions of the food industry in response to a policy substantially determine how the policy translates to changes in the food supply and thus, the effect of the policy on consumers. This has significant implications for the ethical status of the policy. As a result, this article calls for complicating the common ethical approach to restrictive food policies by adopting a framing that recognizes the role of the food industry in the implementation of these policies. We then discuss three implications this framing has for ethical analysis: first that ethical analysis must be more nuanced and recognize the potentially complex outcomes of a policy, second that it must be dynamic and ongoing and third that underlying assumptions about policies' effects on choice, effectiveness and equity need to be reconsidered.

认识到食品政策的伦理复杂性和食品工业的作用。
限制性食品政策经常引起争议和争议。这些政策的支持者认为它们是实现公共卫生目标所必需的,而一些反对者则认为它们过于家长式,侵犯了消费者的选择权,而且可能是不公平的。因此,这些政策的伦理地位和可允许性既有争议,又对政策决策具有重要意义。对这些干预措施的传统伦理分析是根据政府与消费者之间直接的、线性的关系以及政府政策对消费者的影响来研究这些政策的伦理影响的。然而,这种伦理分析方法没有考虑到食品行业作为政策主体和政府与消费者之间的中介在政策实施和效果方面所扮演的角色。食品行业响应政策的行动在很大程度上决定了政策如何转化为食品供应的变化,从而决定了政策对消费者的影响。这对政策的伦理地位有重大影响。因此,本文呼吁对限制性食品政策采用一种承认食品行业在这些政策实施中的作用的框架,从而使常见的伦理方法复杂化。然后,我们讨论了这一框架对伦理分析的三个影响:首先,伦理分析必须更加细致入微,并认识到政策可能产生的复杂结果;其次,伦理分析必须是动态和持续的;第三,需要重新考虑关于政策对选择、有效性和公平性的影响的基本假设。
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来源期刊
Health Promotion International
Health Promotion International Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.70
自引率
7.40%
发文量
146
期刊介绍: Health Promotion International contains refereed original articles, reviews, and debate articles on major themes and innovations in the health promotion field. In line with the remits of the series of global conferences on health promotion the journal expressly invites contributions from sectors beyond health. These may include education, employment, government, the media, industry, environmental agencies, and community networks. As the thought journal of the international health promotion movement we seek in particular theoretical, methodological and activist advances to the field. Thus, the journal provides a unique focal point for articles of high quality that describe not only theories and concepts, research projects and policy formulation, but also planned and spontaneous activities, organizational change, as well as social and environmental development.
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