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The Conversation
Lindsay Jaacks, Personal Chair of Global Health and Nutrition, University of Edinburgh

What the budget got wrong about the NHS and prevention

A healthy NHS and strong economy depend on healthy people, not just strong public finances. Chancellor Rachel Reeves’ budget was a missed opportunity for the government to get serious about public health by protecting citizens from the leading risk factor for death in the UK: unhealthy food.

If a multinational corporation was dumping a chemical into our water that was costing the NHS £19 billion a year (the cost of obesity), that company would be asked to pay the bills. This is the “polluter pays” principle.

The same principle should apply to food. Instead, multinational food companies are profiting from sales of unhealthy food. For example, PepsiCo, which includes brands such as Pepsi MAX, Walkers and Doritos, generated more than £70 billion net revenue in 2023, globally.

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