Obesity Law and Policy肥胖的法律与政策.pptVIP

Legal Policy and Chronic Disease Control: Avoiding Unintended Consequences Edward P. Richards Director, Program in Law, Science, and Public Health Harvey A. Peltier Professor of Law LSU Law Center richards@ Last Year Obesity Law: Rushing into the Void Focused on potential issues that might arise from hurried efforts to pass laws to control obesity A year’s experience has only increased my concerns with attempts to drive obesity policy ahead of a firm scientific basis for obesity policy The Risks of Making Law and Policy in Haste Public Health Implementation is a Zero Sum Game Every initiative takes time, people, and money Health departments, school districts, and social service agencies are at 110% capacity Every new mandate is at the expense of other functions Even if there is new money, it will be clawed back in other parts of the budget as time goes on Vending Machines in Schools Driven by mission creep, which increased costs over the expansion of the tax base Generates important income for many schools Lead to the breakdown of rules against eating in schools, otherwise no income Removing them is fashionable, but not supported by evidence at this time What will the school have to do next? School Lunches – Why Fast Food? Many schools are overcrowded because of limited public support Lunches are served to many more students than the kitchens are designed for Fast food, especially when it is supplied by third parties, is the only way to serve the crowd What will be impact of banning fast food? Bad Policies Develop Strong Constituencies Some proposed legal reforms are driven by powerful interest groups such as surgeons and drug companies While not backed by good science, they are very effectively promoted to the public and the legislature They can consume precious dollars and do harm to patients, but are very difficult to resist Insurance Mandates for Bariatric Surgery Old procedures were unsafe and ineffective New procedures are expensive, dangerous, with a high fr