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Holding “Big Food” to Account: A Call for Structural Change in the Obesity Crisis

Holding “Big Food” to Account: A Call for Structural Change in the Obesity Crisis

1. Reframing the Obesity Debate

Zoe Williams argues the UK's obesity epidemic is not just a matter of personal choice, but a systemic issue rooted in the cost and structure of our food system. She asserts that more expensive, healthier foods often remain out of reach for low-income families, and blames big food companies that profit from mass-producing cheap, ultra-processed foods. While many advocate education and diet advice, Williams suggests these are superficial fixes that ignore structural inequalities.

2. Hungary’s “Unhealthy Food Levy”: A Model for Reform

Williams points to Hungary as an example of effective policy intervention. The country imposes a levy on the production and sale of unhealthy foods and drinks. Revenues are then channeled into public health—supporting nurse salaries and funding nutrition education and programs. She proposes adapting this approach for the UK: taxing unhealthy products to subsidize healthy options, such as free fruits in schools, community cooking sessions, and enhanced support during early years.

3. Policy Over Preaching: The Need for Structural Shifts

Barbara Crowther, manager at the Children’s Food Campaign (Sustain), backs Williams, urging the UK government to adopt more ambitious regulatory measures. Crowther emphasizes that food levies and subsidies for healthier items must be part of the anticipated national food strategy. Going beyond “eat better” messaging, she envisions a system where large corporations bear the cost of public health, helping shift society toward better nutrition over time.

4. Food Banks: Where Emergency Aid Fails Nutrition

Volunteers at local food banks observe the unintended harms of relying on surplus supermarket goods. Eithne Dodwell, drawing from her volunteering experience, notes that much of the donated food, white bread, processed pasta, sugary snacks, is ultra-processed and unhealthy. This not only sustains poor dietary habits but, she argues, also reflects a broader failure in addressing the root causes of malnutrition and obesity.

5. The Mental Toll on Food Choices

Dodwell highlights the psychological burden often influencing food decisions. For individuals under economic stress, healthier options don’t only cost more, they also require mental bandwidth to choose, plan, and prepare. Fatigue often leads to defaulting to cheaper, highly processed foods. She likens this to her own struggles: giving in to chocolate and wine, not for lack of knowledge, but due to habit and emotional needs.

6. Beyond Awareness: Structuring Change into Policy

The article stresses that addressing obesity means shifting the burden, both financially and politically, onto food corporations. Education and dietary advice alone are insufficient when healthier foods remain less accessible. Advocates call for:

  • Unhealthy food levies to fund public health initiatives

  • Subsidies for fruits, vegetables, and whole foods in schools and community programs.

  • Improved food bank provisions focused on nutritious options.

  • Comprehensive food industry regulation, including production and marketing standards.

Such structural reforms, proponents argue, would effectively redistribute costs and empower healthier choices across society.

Conclusion

The obesity crisis in the UK demands structural intervention—not just nutritional advice. Targeted levies, redirected subsidies, and reforms in food bank offerings are necessary to rebalance the system. Instead of expecting individuals to change behavior amidst an environment stacked against them, campaigners argue that it is time to place responsibility squarely on food producers and use policy to create healthier environments for all.

 

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