印度尼西亚的含糖饮料征税计划:呼吁政治承诺

Risyad Abiyyu Siregar, Fona Qorina, Ayers Gilberth Ivano Kalaij, Hera Afidjati, Dhani Latifani, Muhammad Faisal Putro Utomo, Louisa Patricia Sophia, Azizah Salsabila Mahmud
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摘要

印度尼西亚正在努力应对肥胖症和糖尿病发病率上升的问题,其部分原因是含糖饮料消费量高。从 2007 年到 2018 年,成人肥胖症发病率增加了一倍多,糖尿病发病率也有所上升。为此,印尼政府提出对含糖饮料征收消费税,以减少消费。然而,这项政策的实施时间一再推迟,最近一次推迟到了 2024 年。含糖饮料是慢性疾病的重要诱因,不仅增加了医疗负担,还降低了经济生产力。征税是一种以财政措施形式广泛使用的公共卫生策略,可以通过提高价格、提高公众意识、鼓励产品重新配方和创造收入来减少消费。尽管征税具有潜在的好处,但印尼的征税提案面临着巨大的政治和商业挑战。当选总统普拉博沃-苏班托(Prabowo Subanto)在其政治宣言中并未明确支持征税,这引发了人们对因行业游说而进一步拖延征税的担忧。税收的成功实施需要强有力的政治意愿、公众和民间社会的压力以及有效的跨部门合作。政府必须确保政策目标明确,对国内外产品一视同仁,并采取提供免费饮用水替代品等支持措施。透明的利益相关者磋商可以建立基础广泛的支持,而有效的监测和评估框架则是遵守政策的关键。为获得公众支持,将税收用于公共卫生和社会计划至关重要。虽然最初会遇到阻力,但强有力的执行机制可以确保遵守规定。在坚定的政治承诺和公众倡导下,含糖饮料税可大幅降低肥胖症和糖尿病发病率,改善印尼的公共卫生成果和经济生产力。本评论概述了拟议的征税,探讨了其面临的挑战,并为成功实施提供了建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sugar‐Sweetened Beverages Taxation Plan in Indonesia: Call for Political Commitment
Indonesia is grappling with a rise in obesity and diabetes, partially driven by a high consumption of sugar‐sweetened beverages. The prevalence of obesity among adults more than doubled from 2007 to 2018, and diabetes rates have also increased. In response, the Indonesian government has proposed an excise tax on sugar‐sweetened beverages to reduce consumption. However, the implementation of this policy has repeatedly been delayed, with the latest postponement to 2024. Sugar‐sweetened beverages contribute significantly to chronic diseases, increasing the healthcare burden and reducing economic productivity. Taxation, a widely used public health strategy in the form of fiscal measures, can decrease consumption by raising prices, raising public awareness, encouraging product reformulation, and generating revenue. Despite its potential benefits, the proposed tax in Indonesia faces substantial political and commercial challenges. The president‐elect Prabowo Subanto has not explicitly supported the tax in his political manifesto, raising concerns about further delays due to industry lobbying. Successful implementation of the tax requires robust political will, public and civil society pressure, and effective cross‐sector cooperation. The government must ensure clear policy goals, equal application to domestic and foreign products, and supportive measures such as providing free drinking water alternatives. Transparent stakeholder consultations can build broad‐based support, whereas effective monitoring and evaluation frameworks are essential for compliance. To gain public support, allocating tax revenues to public health and social programs is crucial. Although initial resistance is expected, strong enforcement mechanisms can ensure adherence. With determined political commitment and public advocacy, the sugar‐sweetened beverage tax can significantly reduce obesity and diabetes rates, improving public health outcomes and economic productivity in Indonesia. This commentary provides an overview of the proposed tax, explores its challenges, and offers recommendations for successful implementation.
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