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Price Nudge for Obesity (with Romana Khan & Kanishka Misra)

Fat Tax Slideshow

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Page 1: Fat Tax Slideshow

Price Nudge for Obesity(with Romana Khan & Kanishka Misra)

Page 2: Fat Tax Slideshow

Why Intervene?

• Dire consequences of obesity to Individual– Increased risks of type 2 diabetes, hypertension,

cardiovascular diseases, cancer, gallbladder disease, osteoarthritis, disabilities, psychosocial problems ...Estimated 112,000 deaths every year

Externalities: Significant economic implications costing $150 billion p.a.– Medical costs: half on Medicare and Medicaid– Additional productivity loss

Vishal Singh, Stern School of Business, NYU 2

Page 3: Fat Tax Slideshow

How to Intervene?

Disclosure & Education Limiting choices (zoning and prohibition) Marketing regulation (Limiting messages) Surveillance (data provision)

Taxation– “Fat Taxes” or “Junk Food Tax”– Already in place in many states– Soda tax (mean rate 5.2%) in 33 US states– A sugar based tax has been proposed

o Bans/Regulations

Vishal Singh, Stern School of Business, NYU 3

Page 4: Fat Tax Slideshow

Problems with “Twinkie” Tax

o Ideological

Highly Regressive

Will it Work?

o Will it get Implemented?o Strong Industry Opposition

Page 5: Fat Tax Slideshow

Will it Work?Previous Evidence

o Field Work Econometric/data problemsFocus on Sales TaxIndustry Funded

Experimental Work Lab/Cafeteria/Vending MachinesSmall non-representative samples

Page 6: Fat Tax Slideshow

This Paper: Quasi Natural Experiment

Whole milk 2% milk 1% milk Skim milk$2.40

$2.50

$2.60

$2.70

$2.80

$2.90

$3.00

$2.91 $2.91 $2.91 $2.90$2.87

$2.73$2.71

$2.60

Uniform Price Non-Uniform Price

Depending on where you live and what supermarket chain you patronize, you see one of these patterns.

Milk Pricing in the US

Page 7: Fat Tax Slideshow

Milk Pricing in the US

Vishal Singh, Stern School of Business, NYU 7

Non Flat PricingPrimarily Non-FlatMixedPrimarily FlatFlat PricingNo Data Available

Southeast FMMO

Pennsylvania: Large milk producer. State regulations.

Uniform/Non-Uniform price structure is consistent across stores within a chain, even in mixed states.

Upper Midwest FMMO: Wisconsin is 2nd largest producer

Central FMMO

Northeast FMMO

MidEast FMMO

DATA

1800 + supermarkets

6 Years weekly data

UPC level sales, price, promotion etc.

Counties represent approximately 50% of the population

Page 8: Fat Tax Slideshow

About Tableau maps: www.tableausoftware.com/mapdata

Flat

Mixed

Non-Flat

B: Distributions of weekly milk prices for selected cities in flat and nonflat markets. Prices are dollars per gallon for whole milk(pink) and 2% milk (blue) between 2001-2006.

A: Geographic distribution of flat and non-flat price structure. In mixed states, both flat and non-flat pricing stores are present, but price structure is consistent across stores within a chain.

Page 9: Fat Tax Slideshow

a) Comparison of Demographic Profile between Flat and NonFlat Stores

Flat stores Non-Flat stores

Mean Std Dev Mean

Std Dev p-value

Low income 18% 38% 21% 41% 0.08 High income 19% 39% 20% 40% 0.60 % Poverty 2% 1% 2% 1% 0.22 % Children 4% 1% 4% 1% 0.62 % College 39% 49% 41% 49% 0.58 % White 78% 19% 77% 19% 0.49 % Elderly 12% 4% 12% 5% 0.32 Population density 0.12 0.31 0.13 0.18 0.52

(b) (1) Regression of (Price Whole/ Price 2%) milk and (2) Variance Decomposition

(1) (2)

Estimate Std Error % of explained variation

accounted for by:

Intercept 1.0393 (0.006) Median Income -0.0017 (0.002) 0.06% % HH Kids -0.0003 (0.001) 0.00% % College -0.0005 (0.002) 0.01% % White -0.0014 (0.001) 0.09% Population Density -0.0003 (0.001) 0.00% Wage 0.0028 (0.002) 0.14% All retailers within 5 miles -0.0002 (0.001) 0.00% Discount retailers within 10 miles -0.0021 (0.001) 0.18% Marketing Order Fixed Effects Included 15.44% Chain Fixed Effects Included 84.07%

R square 0.658

Is Pricing Structure Exogenous?

Page 10: Fat Tax Slideshow

Med. Income Poverty % Children % Elderly % College

NonFlat

Flat

$48K

$48K

10.2

10.1

7%

7%

12%

12%

29%

30%

Pop. Density $ Hourly Wage Retailers in 5 mi. Discounters in 10 mi. % White

NonFlat

Flat

3.6K

3.1K

$19

$17

7.0

7.1 3.6

3.7 77%

78%

C: Distribution of ‘percent of stores with flat prices’ within a chain, and within a chain-state. The majority of chains are either always flat (=1) or alwaysnon-flat (=0), with fewer chains adopting mixed policies.

B: Variance Decomposition: Dependent variable is the price ratio of whole to 2% milk. The table shows the percent of explained variation accounted forby demographics, competitive factors, milk marketing order fixed effects and chain fixed effects.

Page 11: Fat Tax Slideshow

Does it Change Behavior?

Low Income High Income

Flat Non Flat Flat Non Flat

10% 11%

10%11%

27%

38%

53%

40%

25% 27%

19%19%

30%

33%

26%21%

A: Large Change in Whole Milk Share in Low IncomeSubstituition to 2% Milk

Skim

1%

2%

Whole

Page 12: Fat Tax Slideshow

Low Income High Income

Flat Non Flat Flat Non Flat

Diet Soda Shares Across Stores

Median 26%

Median 45%

B: Distribution of Diet Soda ShareNo Differences in Flat/Non Flat

Flat

Non Flat

No Unobserved Differences in Taste

Page 13: Fat Tax Slideshow

Correlation of Shares & SEC

9.0 9.5 10.0 10.5 11.0 11.5

Log Income Capita

0% 10% 20% 30% 40% 50% 60% 70% 80%

% College

0%

20%

40%

60%

80%

Share Whole Milk

0%

10%

20%

30%

40%

50%

60%

70%

Share Diet Soda

C: Correlation of Socio-economics & Markets Shares Pricing structure only impacts milk (more so at low income/education)

Key Message: (1) Impact of pricing structure higher on low SEC, (2) Shares of soda suggest no systematic taste differences between flat and non-flat markets.

NonFlat Flat

Page 14: Fat Tax Slideshow

Large Response to Small Price Changes

Page 15: Fat Tax Slideshow

Recommendations

• Small price gaps that are reflected at the point of purchase– Mitigates the regressive nature of taxes

$1.05

$.95

$2.05

$1.95

NOTE: Approximately half of the total grocery sales are on promotion

Page 16: Fat Tax Slideshow

2002 2003 2004 2005 2006

0

200

400

600

800

1000

Unit Sold

(A) Weekly Sales at Store # 204353

2002 2003 2004 2005 2006

$1.00

$2.00

$3.00

$4.00

$5.00

Price

(A) Weekly Prices at Store # 204353

Figure 6: Pricing and Sales Patterns of Carbonated Beverages in the US. (A) The graphs are for the highest selling UPCs for Coke & Pepsi (Reg. 12-pack Cans).

(B) Across all stores/weeks in the data (500K + obs.), promotions account for over 90% of the total sales for both pro..

COKEPEP..

40%

60%

80%

100%

(B) % of Total Sales on Promotion (Distribution across 1800 stores)

54%

48%

52%

46%

COKE

PEPSI

Page 17: Fat Tax Slideshow

Altering the Food Subsidies