New research indicates that children living in Seattle experienced a significant decrease in body mass index (BMI) following the implementation of the city’s soda tax. This tax, aimed at reducing the consumption of sugary beverages, has not only had positive health effects but also carries important tax implications worth exploring. Here, we look at the potential tax impacts of such measures, their effectiveness in promoting public health, and the broader fiscal benefits and challenges they present.

Health Benefits and Tax Implications

Seattle’s soda tax, introduced in 2018, imposes an excise tax of 1.75 cents per ounce on sugary beverages. Recent findings published in JAMA Network Open show a tangible health benefit linked to this policy. The study, among the first of its kind, analyzed changes in BMI among over 6,300 children aged 2 to 18, revealing that children in Seattle saw a more significant decrease in BMI compared to those in nearby non-taxed areas.

According to one article shared by U.S. News & World Report, the BMIp95 metric, specifically – which compares a child’s BMI to the 95th percentile for children of the same age and sex –  dropped from an average of 84% to 82% in Seattle, versus a decline from 86% to 85% in non-taxed areas.

Economic Impact and Revenue Generation

The primary fiscal goal of soda taxes is to reduce the consumption of unhealthy beverages and generate revenue for public health initiatives. In Seattle, the soda tax has succeeded on both fronts. Annual total revenue from soda taxes in U.S. cities averages around $134 million. This revenue funds various public health programs, such as nutrition education and access to healthy foods in underserved communities.

Tax Policy and Public Health

Soda taxes, as pointed out by the Tax Policy Center, are often considered “sin taxes”—taxes on goods deemed harmful, such as alcohol and tobacco. These taxes serve a dual purpose: discouraging unhealthy behaviors and generating revenue to offset associated public health costs. The tax revenue from sugary beverages is reinvested in community health programs, potentially leading to long-term health benefits and reduced healthcare costs.

Broader Fiscal Benefits

Healthcare Savings: Reduced consumption of sugary drinks can lead to lower obesity rates, decreasing the prevalence of obesity-related health conditions such as diabetes and heart disease. This translates to substantial savings in healthcare costs for both individuals and the public sector.

Revenue for Health Initiatives: The revenue generated from soda taxes can be allocated to fund health initiatives, further promoting healthier lifestyles and preventing chronic diseases. For example, the funds can support programs that provide access to fresh produce in food deserts or create public awareness campaigns about the risks of sugary drink consumption.

Behavioral Change: The tax also aims to shift consumer behavior towards healthier choices. By increasing the price of sugary drinks, the tax makes healthier alternatives more attractive. This shift can have long-term benefits, such as reducing the overall demand for sugary beverages and encouraging manufacturers to produce healthier options.

Challenges and Considerations

While soda taxes have proven benefits, such as a decrease in childhood obesity rates, they also present challenges:

Regressivity: Soda taxes are often criticized for being regressive, disproportionately affecting low-income consumers who spend a higher percentage of their income on groceries. Policymakers can mitigate this by directing revenue from the tax towards programs that benefit low-income communities.

Industry Pushback: The beverage industry often opposes soda taxes, arguing they hurt sales and lead to job losses. However, evidence from cities with soda taxes shows that while the beverage industry may experience a decline in sugary drink sales, the overall economic impact is minimal, and job losses are not as significant as sometimes claimed.

Policy Consistency: There is variation in how soda taxes are implemented across different jurisdictions. Some cities, like Philadelphia, tax all sweetened beverages, including diet drinks, while others focus solely on sugary drinks. Standardizing these policies could help create a more uniform impact and simplify compliance for businesses.

The implementation of soda taxes, as demonstrated by Seattle’s example, shows promising health benefits and significant tax implications. These taxes tend to reduce the consumption of sugary beverages, leading to better health outcomes, while generating revenue for public health initiatives.

Despite challenges, the potential for long-term health benefits and healthcare savings makes soda taxes a compelling policy tool for promoting public health and fiscal responsibility. As more cities consider adopting such measures, the evidence from major metro areas that already have these policies provides a valuable blueprint for successful implementation and impact.


If you have any questions, please contact our office at (503) 224-5321. Isler Northwest LLC is a firm of business advisors and CPAs in Portland, Oregon. Our service goal at Isler Northwest is to earn our clients’ trust as their primary business and financial advisor.

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