ALBANY, New York (CNN) -- Like many New Yorkers, I remember a time
when nearly everyone smoked. In 1950, Collier's reported that more
than three-quarters of adult men smoked. This epidemic had a
devastating and long-lasting impact on public health.

Today, we find ourselves in the midst of a new public health epidemic:
childhood obesity.

What smoking was to my parents' generation, obesity is to my
children's generation. Nearly one out of every four New Yorkers under
the age of 18 is obese. In many high-poverty areas, the rate is closer
to one out of three.

That is why, in the state budget I presented last Tuesday, I proposed
a tax on sugared beverages like soda. Research has demonstrated that
soft-drink consumption is one of the main drivers of childhood
obesity.

For example, a study by Harvard researchers found that each additional
12-ounce soft drink consumed per day increases the risk of a child
becoming obese by 60 percent. For adults, the association is similar.

If we are to succeed in reducing childhood obesity, we must reduce
consumption of sugared beverages. That is the purpose of our proposed
tax. We estimate that an 18 percent tax will reduce consumption by
five percent.

Our tax would apply only to sugared drinks -- including fruit drinks
that are less than 70 percent juice -- that are nondiet. The $404
million this tax would raise next year will go toward funding public
health programs, including obesity prevention programs, across New
York state.

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The surgeon general estimates that obesity was associated with 112,000
deaths in the United States every year. Here in New York state, we
spend almost $6.1 billion on health care related to adult obesity --
the second-highest level of spending in the nation.

Last year, legitimate concerns about links between consumption of fast
food and the prevalence of heart disease prompted New York City to ban
the use of trans fats in restaurant food.

No one can deny the urgency of reducing the rate of obesity, including
childhood obesity. Obesity causes serious health problems like type 2
diabetes, high blood pressure and high cholesterol. It puts children
at much greater risk for life-threatening conditions such as
cardiovascular disease and cancer.

We must never stigmatize children who are overweight or obese. Yet,
for the sake of our children's health, we have an obligation to
address this crisis. I believe we can ultimately curb the obesity
epidemic the same way we curbed smoking: through smart public policy.

In recent decades, anti-smoking campaigns have raised awareness.
Smoking bans have been enacted and enforced. And, perhaps most
importantly, we have raised the price of cigarettes.

In June, New York state raised the state cigarette tax an additional
$1.25. According to the Campaign for Tobacco Free Kids, this increase
alone will prevent more than 243,000 kids from smoking, save more than
37,000 lives and produce more than $5 billion in health care savings.

These taxes may be unpopular, but their benefits are undeniable. Last
month, the Centers for Disease Control and Prevention reported that,
for the first time in generations, fewer than 20 percent of Americans
smoked. Lung cancer rates have finally begun to decline. As a result,
we are all healthier.

Just as the cigarette tax has helped reduce the number of smokers and
smoking-related deaths, a tax on highly caloric, non-nutritional
beverages can help reduce the prevalence of obesity.

To address the obesity crisis, we need more than just a surcharge on
soda. We need to take junk food out of our schools. We need to
encourage our children to exercise more. And we need to increase the
availability of healthy food in underserved communities.

But to make serious progress in this effort, we need to reduce the
consumption of high-calorie drinks like nondiet soda among children
and adults.

I understand that New Yorkers may not like paying a surcharge for
their favorite drinks. But surely it's a small price to pay for our
children's health.

The opinions expressed in this commentary are solely those of David
Paterson.
http://www.cnn.com/2008/HEALTH/12/18/paterson.obesity/index.html
*****************************

Years ago when I worked in a grocery store, people could buy sodas and
junk food with food stamps. Does anyone know if that's still the case?
If so, it would seem logical to start by not allowing  state monies to
buy junk food for kids.
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