Corporate capture of Public Health

Authors

  • Miguel Ángel Royo Bordonada

DOI:

https://doi.org/10.1344/rbd2019.0.27783

Keywords:

corporate capture, public policy, public health, nutrition, Spain

Abstract

Corporate capture is the deliberately planned process whereby political decisions respond to a particular interest of a private nature, in detriment to the public interest. The result is an unjust regulation or the absence of regulation where this is necessary for the protection of the common good. When policies affect commercial determinants of health, such as alcohol, tobacco, sugar-sweetened beverages and ultra-processed foods, this is known as corporate capture of public health. Capture-related actions are targeted at civil society, experts, public-health officials, and politicians, and can assume different forms, ranging from material (revolving doors) to intellectual (distortion of science), social (control of information) and/or cultural (by reason of the group identity, status and relationship of the regulator with the representatives of private corporations). The capture strategies are aimed at: 1) biasing scientific results; 2) creating consumers from an early age; 3) promoting a good image of corporations; 4) questioning the legitimacy and appropriateness of governmental regulation; 5) controlling professional education; and 6) lobbying on governments and international bodies. To illustrate this phenomenon, we analyse a paradigmatic case of corporate capture of public health, namely, Spanish nutritional policies since the approval in 2005 of the «Strategy for Nutrition, Physical Activity and Prevention of Obesity (NAOS) ». In Spain, a sector of the scientific community and those in charge of nutritional policies have not only succumbed to the interests of private corporations, but have also adopted the latter’s line of reasoning as their own, thereby becoming a mouthpiece for corporate interests.

Author Biography

Miguel Ángel Royo Bordonada

Doctor en Medicina. Escuela Nacional de Sanidad, Instituto de Salud Carlos III; calle Sinesio Delgado, 8, 28029 Madrid.

References

Acheson D. Report of the Committee of Inquiry into the future development of the public health functions. London: Public Health in England, 1988.

AESA. Estrategia NAOS. Madrid: AESA, 2005. Disponible en: http://www.aecosan.msssi.gob.es/AECOSAN/docs/documentos/nutricion/estrategianaos.pdf

AESA. Código de autorregulación de la publicidad de alimentos y bebidas dirigida a menores, prevención de la obesidad y salud (Código PAOS). Madrid: AESA, 2005. Disponible en: http://www.aecosan.msssi.gob.es/AECOSAN/docs/documentos/nutricion/Codigo_PAOS_2005_espanol.pdf

AESAN. Documento de Consenso sobre la alimentación en los Centros Educativos. Madrid: AESAN, 2010. Disponible en:
http://www.aecosan.msssi.gob.es/AECOSAN/docs/documentos/nutricion/educanaos/documento_consenso.pdf

AESAN. Código de Corregulación de la publicidad de alimentos y bebidas dirigida a menores, prevención de la obesidad y salud (Código PAOS). Madrid: AESAN, 2012. Disponible en:
http://www.aecosan.msssi.gob.es/AECOSAN/docs/documentos/nutricion/Nuevo_Codigo_PAOS_2012_espanol.pdf

Ansede M. Respiramos aire que nos va a causar infarto cerebral. El País, 13 de mayo de 2016. Disponible en: https://elpais.com/elpais/2016/05/11/ciencia/1462996602_690494.html

Aranceta J, de Torres ML, López Rocha A, Moya M, Pérez Rodrigo C, Serra Majem L y Varela Moreiras G. Guía para una hidratación saludable. La Declaración de Zaragoza. SENC, 2008. Rev Esp Nutr Comunitaria 2009;15(1):225-230.

Aranceta J, Arija V, Maíz E, Martínez E, Ortega RM, Pérez-Rodrigo C et al. Guías Alimentarias para la población española (SENC, diciembre 2016); la nueva pirámide de alimentación saludable. Nutr Hosp 2016;33(Supl.8):1-48.

Autocontrol. Asociación de usuarios de la Comunicación vs Danone (“Natillas Danet”). Autocontrol, 2006. Disponible en: https://docplayer.es/561176-Asunto-no-025-r-febrero-2006-auc-vs-danone-natillas-danet.html

Banegas JR, Rodríguez Artalejo F, Graciani A, Herruzo R, del Rey J. Causalidad en epidemiología. En: Piedrola G. Medicina Preventiva y Salud Pública, 12ª edición. Barcelona: Elsevier España, 2016:193-204.

Beaglehole R, Bonita R, Yach D, Mackay J, Reddy KS. A tobacco-free world: a call to action to phase out the sale of tobacco products by 2040. Lancet. 2015; 385:1011-8.

Bes-Rastrollo M, Ruiz-Canela M. Regulation and the food industry. Lancet. 2013;381:1902

Boletín Oficial del Estado. LEY 11/2001, de 5 de julio, por la que se crea la Agencia Española de Seguridad Alimentaria. Disponible en:
https://www.boe.es/boe/dias/2001/07/06/pdfs/A24250-24255.pdf

Boletín Oficial del Estado. LEY 44/2006, de 29 de diciembre, de mejora de la protección de los consumidores y usuarios. Disponible en:
https://www.boe.es/boe/dias/2006/12/30/pdfs/A46601-46611.pdf

Boletín Oficial del Estado. Ley 17/2011, de 5 de julio, de seguridad alimentaria y nutrición.

Boletín Oficial del Estado. Ley 5/2017, de 28 de marzo, de medidas fiscales, administrativas, financieras y del sector público y de creación y regulación de los impuestos sobre grandes establecimientos comerciales, sobre estancias en establecimientos turísticos, sobre elementos radiotóxicos, sobre bebidas azucaradas envasadas y sobre emisiones de dióxido de carbono. Generalitat de Catalunya, Barcelona.

Braillon A, Dubois G. Industry-born pandemics or Non Communicable Diseases, calling a spade a spade? BMJ 2018;360:k110/rr-0

Brownell KD, Warner KE. The perils of ignoring history: Big Tobacco played dirty and millions died. How similar is Big Food? Milbank Q. 2009; 87:259-94.

Brug J, van Stralen MM, Te Velde SJ, Chinapaw MJ, De Bourdeaudhuij I, Lien N, et al. Differences in weight status and energy-balance related behaviors among schoolchildren across Europe: the ENERGY-project. PLoS One. 2012;7(4):e34742.

Carpenter D, Moss DA. Preventing Regulatory Capture. Special Interest Influence and How to Limit it. The Tobin Project. New York: Cambridge University Press, 2014.

Corporate Europe Observatory. A red light for consumer information. CEO, 2010.

Dahlgren G, Whitehead M. 1991. Policies and Strategies to Promote Social Equity in Health. Stockholm, Sweden: Institute for Futures Studies.

Davó-Blanes MC, Ortiz-Moncada R, Gil-González D, Alvarez-Dardet C, Lobstein T. The impact of marketing practices and its regulation policies on childhood obesity. Opinions of stakeholders in Spain. Appetite. 2013;62:216-24.

EFESalud. María Neira (OMS): “Con la obesidad, nuestra sociedad se está autodestruyendo”. EFE, 1 de marzo de 2018. Disponible en: https://www.efesalud.com/obesidad-oms-maria-neira

Escolar I. El lobby del azúcar consigue su objetivo al frenar el impuesto sobre los refrescos. Eldiario.es, 31 de marzo de 2017. Disponible en:
https://www.eldiario.es/economia/consigue-objetivo-impuesto-bebidas-azucaradas_0_628187485.html

GBD 2017 Risk Factor Collaborators. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1923-94.

Hernández-Aguado I y Villalbí JR. Public-private interaction with the alcohol industry and failures in the regulation of alcohol in Spain. Editor: Modi Mwatsama. Public health and the food and drinks industry: The governance and ethics of interaction. Lessons from research, policy and practice. UK Health Forum, 2018. Disponible en:
http://www.ukhealthforum.org.uk/prevention/pie/ukhf-publications/?entryid43=58305

Kickbusch I, Allen L, Franz C. The commercial determinants of health. Lancet Glob Health. 2016;4(12):e895-e896.

Kirby T. Nutrient labelling: legislating against too much information? Lancet Diabetes Endocrinol. 2016;4(7):568.

Kwak J. Cultural Capture and the Financial Crisis. En: Carpenter D, Moss DA eds. Preventing Regulatory Capture. Special Interest Influence and How to Limit it. New York: Cambridge University Press, 2014:71-98.

La Vanguardia. FIAB pide la intervención del Gobierno contra la tasa a refrescos en Cataluña. La Vanguardia, 24 de marzo de 2017. Disponible en:
https://www.lavanguardia.com/vida/20170324/421148760172/fiab-pide-la-intervencion-del-gobierno-contra-la-tasa-a-refrescos-en-cataluna.html

Marmot M. Commission on Social Determinants of Health. Achieving health equity: from root causes to fair outcomes. Lancet 2007;370:1153-63.

McKee M, Stuckler D. Revisiting the Corporate and Commercial Determinants of Health. Am J Public Health. 2018;108(9):1167-1170.

Méndez R. EE UU presiona a Mas contra la tasa antiobesidad a las bebidas azucaradas. El País, 5 de marzo de 2013. Disponible en:
https://elpais.com/ccaa/2013/03/04/catalunya/1362424598_817564.html

Millar JS. The corporate determinants of health: how big business affects our health, and the need for government action! Can J Public Health. 2013;104(4):e327–e329.

Mindell JS, Reynolds L, Cohen DL, McKee M. All in this together: the corporate capture of public health. BMJ. 2012;345:e8082.

Moodie R, Stuckler D, Monteiro C, Sheron N, Neal B, Thamarangsi T, et al. Profits and pandemics: prevention of harmful effects of tobacco, alcohol, and ultra-processed food and drink industries. Lancet. 2013; 381:670-9. doi: 10.1016/S0140-6736(12)62089-3.

Neira M, de Onis M. The Spanish strategy for nutrition, physical activity and the prevention of obesity. Br J Nutr. 2006;96 Suppl 1:S8-11.

Organisation for Economic Co-operation and Development. Preventing policy capture: integrity in public decision making. Paris: OECD Publishing, 2017.

Organización Mundial de la Salud. Estrategia mundial sobre régimen alimentario, actividad física y salud. 57ª Asamblea Mundial de la Salud. Ginebra: OMS, 22 de mayo de 2004. Disponible en:
https://www.who.int/dietphysicalactivity/strategy/eb11344/strategy_spanish_web.pdf

Organización Mundial de la Salud. Informe de la comisión para acabar con la obesidad infantil. OMS, 2016. Disponible en:
http://apps.who.int/iris/bitstream/handle/10665/206450/9789243510064_spa.pdf;jsessionid=8095B28B88522D9CABC269C7049F532A?sequence=1

Robinson C, Holland N, Leloup D, Muilerman H. Conflicts of interest at the European Food Safety Authority erode public confidence. J Epidemiol Community Health. 2013;67(9):717-20.

Rey-López JP, Gonzalez CA. Research partnerships between Coca-Cola and health organizations in Spain. Eur J Public Health. 2018 [Epub ahead of print]

Roger M. Cataluña renuncia al impuesto sobre los refrescos tras las presiones americanas. El País, 10 de septiembre de 2013. Disponible en:
https://elpais.com/ccaa/2013/09/10/catalunya/1378828200_536719.html

Royo-Bordonada MÁ. Setting up childhood obesity policies in Europe. Lancet. 2016;388(10059):2475.

SENC. Empresas colaboradoras. SENC, 2017. Disponible en:
http://www.nutricioncomunitaria.org/es/colaborador/empresas

Sepúlveda J, Murray Ch. The state of global health in 2014. Science. 2014;345:1275-8.

Swinburn BA, Sacks G, Hall KD, McPherson K, Finegood DT, Moodie ML, Gortmaker SL. The global obesity pandemic: shaped by global drivers and local environments. Lancet 2011; 378:804-14.

iist WH. The corporate playbook, health and democracy: the snack food and beverage industry’s tactics in context. In: Macmillan P, ed. Sick societies: responding to the global challenge of chronic disease. Hampshire, UK: Oxford University Press, 2013:204-16.

Published

2019-02-04

How to Cite

Royo Bordonada, M. Ángel. (2019). Corporate capture of Public Health. Revista De Bioética Y Derecho, (45), 25–41. https://doi.org/10.1344/rbd2019.0.27783

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