Sugar Tax and Public Health Policy in Thailand: A Legal and Policy Analysis
Keywords:
Sugar-Sweetened Beverage Excise Tax (SSB Tax), Sugar Tax, Health Tax, Non-Communicable Diseases (NCDs)Abstract
The growing prevalence of Non-Communicable Diseases (NCDs) associated with the consumption of sugar-sweetened beverages has led many countries to adopt excise taxation as a legal instrument for promoting public health. In Thailand, a sugar-sweetened beverage (SSB) tax was introduced under the Excise Tax Act B.E. 2560 (2017) through a tiered tax structure based on sugar content. This study aims to analyze the structure and limitations of Thailand’s SSB excise tax, conducting a comparative analysis of relevant legal measures adopted in selected foreign jurisdictions, and propose appropriate legal and policy reforms for Thailand’s health taxation framework. The research employs a qualitative methodology based on documentary analysis of legal materials, academic literature, both domestic and international scholarly databases.
The findings indicate that Thailand’s excise tax on sugar-sweetened beverages has encouraged product reformulation by manufacturers and has contributed, to some extent, to reducing the consumption of sugar-sweetened beverages. However, its principal limitation lies not in the tax rate itself but in the lack of integration among tax measures, public health measures, information-based measures, marketing controls, and monitoring and evaluation systems. As a result, the sugar tax continues to operate primarily as a fiscal instrument rather than as a comprehensive health-oriented regulatory mechanism.
The study therefore recommends that Thailand transforms its sugar tax into a Health-Oriented Regulatory Framework by integrating tax policy with food law, consumer protection law, and measures addressing the Commercial Determinants of Health, to strengthen its effectiveness and long-term sustainability in reducing NCDs.
References
Andreyeva, T., Marple, K., Marinello, S., Moore, T. E., & Powell, L. M. (2022). Outcomes following
taxation of sugar-sweetened beverages: A systematic review and meta-analysis. JAMA
Network Open, 5(6), e2215276. https://doi.org/10.1001/jamanetworkopen.2022.15276
Allcott, H., Lockwood, B. B., & Taubinsky, D. (2019). Should we tax sugar-sweetened beverages? An overview of theory and evidence. Journal of Economic Perspectives, 33(3), 202–227.
https://doi.org/10.1257/jep.33.3.202
Ayres, I., & Braithwaite, J. (1992). Responsive regulation: Transcending the deregulation debate.
Oxford University Press.
Backholer, K., Blake, M., & Vandevijvere, S. (2017). Sugar-sweetened beverage taxation: An update
on the year that was 2017. Public Health Nutrition, 20(18), 3219–3224.
https://doi.org/10.1017/S1368980017002596
Bandy, L. K., Scarborough, P., Harrington, R. A., Rayner, M., & Jebb, S. A. (2020). Reductions in sugar
sales from soft drinks in the UK from 2015 to 2018. BMC Medicine, 18(1), 20.
https://doi.org/10.1186/s12916-019-1477-4
Batis, C., Rivera, J. A., Popkin, B. M., & Taillie, L. S. (2016). First-year evaluation of Mexico’s tax on
nonessential energy-dense foods: An observational study. PLoS Medicine, 13(7), e1002057.
https://doi.org/10.1371/journal.pmed.1002057
Briggs, A. D. M., Mytton, O. T., Kehlbacher, A., Tiffin, R., Elhussein, A., Rayner, M., & Scarborough, P.
(2013). Overall and income specific effect on prevalence of overweight and obesity of 20%
sugar sweetened drink tax in the UK: Econometric and comparative risk assessment
modelling study. BMJ, 347, f6189. https://doi.org/10.1136/bmj.f6189
Brownell, K. D., & Frieden, T. R. (2009). Ounces of prevention — The public policy case for taxes on
sugared beverages. New England Journal of Medicine, 360(18), 1805–1808.
https://doi.org/10.1056/NEJMp0902392
Cawley, J., & Frisvold, D. (2017). The incidence of taxes on sugar-sweetened beverages: The case of
Berkeley, California. Journal of Policy Analysis and Management, 36(2), 303–326.
https://doi.org/10.1002/pam.21965
Colchero, M. A., Popkin, B. M., Rivera, J. A., & Ng, S. W. (2016). Beverage purchases from stores in
Mexico under the excise tax on sugar sweetened beverages: Observational study. BMJ, 352,
h6704. https://doi.org/10.1136/bmj.h6704
Corvalán, C., Reyes, M., Garmendia, M. L., & Uauy, R. (2019). Structural responses to the obesity and
non-communicable diseases epidemic: The Chilean law of food labeling and advertising.
Obesity Reviews, 20(3), 367–374. https://doi.org/10.1111/obr.12802
Excise Tax Act B.E. 2560 (2017). (2017). Royal Gazette, Vol. 134, Part 32 Kor.
Falbe, J., Rojas, N., Grummon, A. H., & Madsen, K. A. (2016). Higher retail prices of sugar-sweetened
beverages 3 months after implementation of an excise tax in Berkeley, California. American
Journal of Public Health, 105(11), 2194–2201. https://doi.org/10.2105/AJPH.2015.302881
Freeman, L. J. (2019). Sugar-sweetened beverage tax pass-through rates: A systematic review
(Master’s thesis, University of Otago). https://hdl.handle.net/10523/42835
Freiberg, A. (2017). Regulation and criminal justice: Innovations in policy and research. Routledge.
García Antón, R., & Öner, C. (2023). Health taxes and fiscal measures on sugar-sweetened
beverages: International and comparative perspectives. IBFD.
Grummon, A. H., & Hall, M. G. (2020). Sugary drink warnings: A meta-analysis of experimental
studies. PLOS Medicine, 17(4), e1003120. https://doi.org/10.1371/journal.pmed.1003120.
Gostin, L. O. (2016). Public health law: Power, duty, restraint (3rd ed.). University of California Press.
Hawkes, C. (2015). Food policies for healthy populations and healthy economies. BMJ, 350, h1347.
https://doi.org/10.1136/bmj.h1347
IBFD. (2022). Sugar taxes and fiscal health policy developments. International Bureau of Fiscal
Documentation.
Kanter, R., Reyes, M., Corvalán, C., & Taillie, L. S. (2019). The food supply prior to the
implementation of the Chilean law of food labeling and advertising. Nutrients, 11(1), 52.
https://doi.org/10.3390/nu11010052
Malik, V. S., Popkin, B. M., Bray, G. A., Després, J. P., Willett, W. C., & Hu, F. B. (2010). Sugar-sweetened
beverages and risk of metabolic syndrome and type 2 diabetes: A meta-analysis. Diabetes Care, 33(11), 2477–2483. https://doi.org/10.2337/dc10-1079
Mennella, J. A., & Bobowski, N. K. (2015). The sweetness and bitterness of childhood: Insights from
basic research on taste preferences. Physiology & Behavior, 152(Part B), 502–507.
https://doi.org/10.1016/j.physbeh.2015.05.015
Ministerial Regulation Prescribing Excise Tax Rates B.E. 2560 (2017). (2017).
Issued under the Excise Tax Act B.E. 2560 (2017). Royal Gazette.
Ministerial Regulation Prescribing Excise Tax Rates (No. 16) B.E. 2564 (2021). (2021).
Issued under the Excise Tax Act B.E. 2560 (2017). Royal Gazette.
Ministerial Regulation Prescribing Excise Tax Rates (No. 28) B.E. 2564 (2021). (2021).
Issued under the Excise Tax Act B.E. 2560 (2017). Royal Gazette.
OECD. (2021). Tax policy reforms 2021: OECD and selected partner economies. OECD Publishing.
https://doi.org/10.1787/427d2616-en
Pan American Health Organization. (2015). Taxes on sugar-sweetened beverages as a public health
strategy: The experience of Mexico. PAHO. https://www.paho.org
Pell, D., Mytton, O., Penney, T. L., Briggs, A., Cummins, S., Penn-Jones, C., Rayner, M., Rutter, H.,
Scarborough, P., Sharp, S. J., Smith, R. D., White, M., Adams, J., & Marteau, T. M. (2021).
Changes in soft drinks purchased by British households associated with the UK soft drinks
industry levy: Controlled interrupted time series analysis. BMJ, 372, n254.
https://doi.org/10.1136/bmj.n254
Phulkerd, S., Thapsuwan, S., Rodjam, C., & Tangcharoensathien, V. (2020). Changes in population-
level consumption of taxed and non-taxed sugar-sweetened beverages after
implementation of the sugar-sweetened beverage tax in Thailand: A prospective cohort
study. Nutrients, 12(11), 3294. https://doi.org/10.3390/nu12113294
Polinsky, A. M., & Shavell, S. (1982). Pigouvian taxation with administrative costs. Journal of Public Economics, 19(3), 385–394. https://doi.org/10.1016/0047-2727(82)90009-7
Pomeranz, J. L. (2021). Sugary beverage tax policy: Lessons learned from tobacco control. American Journal of Public Health, 111(4), 564–568. https://doi.org/10.2105/AJPH.2020.306136
Popkin, B. M., & Ng, S. W. (2021). The nutrition transition to a stage of high obesity and
noncommunicable disease prevalence dominated by ultra-processed foods is not
inevitable. Obesity Reviews, 22(S1), e13145. https://doi.org/10.1111/obr.13145
Powell, L. M., & Leider, J. (2020). The impact of taxes on sugary drinks on health outcomes. Current
Obesity Reports, 9(3), 202–212. https://doi.org/10.1007/s13679-020-00389-7
Reyes, M., Smith Taillie, L., Popkin, B., Kanter, R., Vandevijvere, S., & Corvalán, C. (2020). Changes in
the amount of nutrient of packaged foods and beverages after the initial implementation
of the Chilean law of food labelling and advertising: A nonexperimental prospective study.
PLoS Medicine, 17(7), e1003220. https://doi.org/10.1371/journal.pmed.1003220
Scarborough, P., Adhikari, V., Harrington, R. A., Elhussein, A., Briggs, A., Rayner, M., Adams, J., Cummins, S., Penney, T., & White, M. (2020). Impact of the announcement and implementation of the UK Soft Drinks Industry Levy on sugar content, price, product size
and number of available soft drinks in the UK, 2015–2019: A controlled interrupted time series analysis. PLoS Medicine, 17(2), e1003025.
https://doi.org/10.1371/journal.pmed.1003025
Silver, L. D., Ng, S. W., Ryan-Ibarra, S., Taillie, L. S., Induni, M., Miles, D. R., Poti, J. M., & Popkin, B. M.
(2017). Changes in prices, sales, consumer spending, and beverage consumption one year
after a tax on sugar-sweetened beverages in Berkeley, California, US: A before-and-after
study. PLoS Medicine, 14(4), e1002283. https://doi.org/10.1371/journal.pmed.1002283
Taillie, L. S., Hall, M. G., Gómez, L. F., Popkin, B. M., & Ng, S. W. (2020). An evaluation of Chile’s law
of food labeling and advertising on sugar-sweetened beverage purchases from 2015 to
: A before-and-after study. PLoS Medicine, 17(2), e1003015.
https://doi.org/10.1371/journal.pmed.1003015
Tatlow-Golden, M., Tracey, L., Dolphin, L., & O’Neill, M. (2016). Who’s feeding the kids online? Digital
food marketing and children. Irish Heart Foundation. https://irishheart.ie/wp-content/uploads/2017/01/food-marketing-to-children-online-report.pdf
Teng, A. M., Jones, A. C., Mizdrak, A., Signal, L., Genç, M., & Wilson, N. (2022). Impact of sugar-
sweetened beverage taxes on purchases and dietary intake: Systematic review and meta-
analysis. Obesity Reviews, 23(1), e13388. https://doi.org/10.1111/obr.13388
Thaler, R. H., & Sunstein, C. R. (2008). Nudge: Improving decisions about health, wealth, and happiness. Yale University Press.
Thai Food and Drug Administration. (2022). Guideline Daily Amounts (GDA) nutrition labeling.
https://dis.fda.moph.go.th/detail-infoGraphic?id=2081
Thai Food and Drug Administration. (2024). Healthier Choice symbol as a tool for reducing sweet,
fatty, and salty food consumption. Government Information Center. https://gcc.go.th/2024/03/27/อย-ใช้สัญลักษณ์-ทางเลือกสุขภาพ
UK Government. (2021). Introducing further advertising restrictions on TV and online for products
high in fat, salt and sugar. https://www.gov.uk
United Nations Committee on Economic, Social and Cultural Rights. (2000). General Comment No. 14: The right to the highest attainable standard of health. UN.
United Nations. (1989). Convention on the Rights of the Child. https://www.unicef.org/child-rights-convention
World Bank. (2023). Taxes on sugar-sweetened beverages: International evidence and experiences.
World Bank Group. https://www.worldbank.org
World Health Organization. (2021). Health taxes: Policy and practice. World Health Organization.
https://www.who.int/publications/i/item/9789240011311
World Health Organization. (2023). Guiding principles and framework manual for front-of-pack
nutrition labelling. WHO. https://www.who.int
Wright, A., Smith, K. E., & Hellowell, M. (2017). Policy lessons from health taxes: A systematic
review of empirical studies. BMC Public Health, 17(1), 583. https://doi.org/10.1186/s12889-017-4497-z
Downloads
Published
How to Cite
Issue
Section
License
Disclaimer and Copyright Notice
The content and information presented in articles published in the Journal of Law and Public Health Policy represent the opinions and sole responsibility of the respective authors. The editorial board does not necessarily agree with or assume any responsibility for the views expressed.
All articles, data, content, images, and other materials published in the Journal of Law and Public Health Policy are the intellectual property of the journal. Any individual or organization wishing to reproduce, distribute, or otherwise use the entirety or any part of such materials must provide proper citation.