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Table 3 Main categories and themes in the study

From: Taxation of sugar sweetened beverages and unhealthy foods: a qualitative study of key opinion leaders’ views

Category Themes
The responsibilities of individual and society for obesity, its causes and treatment • Obesity is a public and private problem
• Obesity is a financial (economic) problem
Negative positions about taxation of sugar sweetened beverages and unhealthy snacks • Taxation will negatively affect the population because sweet drinks and sweets give people pleasure
• The industry lobbyists, the Ministry of Finance and Parliament members will oppose.
Potential supporters of taxation • The Government, the Ministry of Finance
• Parliament members
• The Ministry of Education, education organizations
• Parents
• Health maintenance organizations, the Ministry of Health, health promoting organizations, health professionals (physicians, nutritionists).
• Environmental organizations
Reference to low socioeconomic populations • Taxing cause inequality because it affects the poor much more than the rich.
Alternative strategies to fight obesity • Regulation and responsibility of the industry
• Build a healthier environment
• More physical activity
• Personal education and responsibility
Tax rate and its effect on consumption • Low taxation does not make any consumers change
• High taxation is not proportionate
Public response to the taxation • The public will oppose, they will never support additional taxation (it is not a popular move)
• The public will be indifferent
Barriers and obstacles to implementing the tax • Difficulties in defining healthy and unhealthy products
• Difficulties in deciding which products to tax.
• Higher prices of healthy food
• Difficulties in passing the message to the public
• Technical and logistic problems with taxation
• Enforcement difficulties
• Damage to the Industry and danger of worker termination
Tax complementary activities • Taxing needs a supporting educational and public promotion and advocacy to follow
The need for earmarking tax revenue and obstacles to implementation • The tax revenue will not be used for the tax cause.
• Government authorities will oppose.
• Learning from the past- the attempt to use the tobacco tax revenue for health cause was a failure.
• Opinions against the use of the tax revenue for a specific cause.
• The public will support the use of tax revenue for health cause, and there will be less objections to the tax.
• Options for the revenue use: health promotion, health education, subsidies for healthy foods.