AMERICAN MEDICAL ASSOCIATION HOUSE OF DELEGATES

Resolution:  XX
(A-05)

Introduced by:              American College of Preventive Medicine 

Subject:                      Increasing Taxes on Alcoholic Beverages 

Referred to:                 Reference Committee ?

 

Whereas, Excessive alcohol consumption caused approximately 76,000 deaths and 2.3 million years of potential life lost in the United States in 2001 (MMWR 2004; 53: 866-870); and

Whereas, Alcohol-related death rates are higher for African Americans, Hispanic/Latino men, American Indians, and other racial and ethnic groups (www.niaaa.nih.gov/about/Disparities01.htm); and

Whereas, The overall economic cost of alcohol abuse was $185 billion for 1998 (www.niaaa.nih.gov/publications/aa51.htm); and

Whereas, The relative price of alcoholic beverages has declined dramatically in the past 50 years, with the average price of beer having fallen by more than 25% relative to the Consumer Price Index, and the inflation-adjusted price of liquor having fallen by almost 50% during that period (www.cspinet.org/booze/FedBeerTaxTP.htm); and

Whereas, Federal taxes on alcoholic beverages have not been increased since 1991, when they were increased by approximately $0.05, $0.035, and $0.11 per drink of beer, wine, and liquor, respectively (www.cspinet.org/booze/FedBeerTaxTP.htm); and

Whereas, 71% of Americans would support increasing the national beer tax a few cents per bottle to equal the tax on liquor, if the funds were used for substance abuse prevention (www.cspinet.org/booze/FedBeerTaxTP.htm); and

Whereas, In most states, alcohol taxes have not increased in decades and their value has declined with inflation (www.cspinet.org/booze/taxguide/TaxIndex.htm); and

Whereas, Most of the research on the effects of alcohol taxes indicates that tax increases lead to lower alcohol consumption rates among adults and youth, fewer binge-drinking episodes, and lower traffic fatality rates (www.niaaa.nih.gov/publications/aa51.htm); and 

Whereas, AMA policy (H-30.972) “reaffirms the concept that alcohol is an addictive drug and its abuse is one of the nation’s leading drug problems”; and

Whereas, One of the seven items on the AMA’s healthcare advocacy agenda is “Improving public health through promoting healthy lifestyles and eliminating health disparities”; and

Whereas, AMA policy supports increases in tobacco taxes, and allocation of tobacco tax revenues to tobacco control programs, health education, counter-advertising efforts, treatment of those with tobacco-caused illness (including nicotine dependence), and coverage of the uninsured (H-495.987; H-505.963; H-290.982; H-165.882; D-490.998); therefore be it

RESOLVED, That our AMA support increases in federal taxes on beer, wine, and liquor, with a substantial portion of the new revenues to be earmarked to the prevention of alcohol abuse and drunk driving, treatment of persons with alcohol dependence or at-risk drinking patterns, and public health and medical programs that serve vulnerable populations (Directive to Take Action); and be it further

RESOLVED, That our AMA encourage state and local medical societies to support increases in state and local taxes on beer, wine, and liquor, with a substantial portion of the new revenues to be earmarked to the purposes noted above (Directive to Take Action); and be it further

RESOLVED, That our AMA support, to the extent possible, state and local efforts to increase taxes on beer, wine, and liquor (Directive to Take Action); and be it further

RESOLVED, That our AMA collaborate with other national organizations with an interest in this subject, including national medical specialty societies, the American Public Health Association, the Center for Science in the Public Interest, Mothers Against Drunk Driving, and the AMA Alliance (Directive to Take Action); and be it further

RESOLVED, That when state legislative efforts to increase alcohol taxes are stymied, consideration be given to the use of ballot initiatives in the 24 states that allow such initiatives (www.iandrinstitute.org/statewide_i&r.htm). (Directive to Take Action)