In sp!ked, Christopher Snowdon starts off by listing a few “public health” proposals that have been suggested recently:
An abridged list of policies that have been proposed in the name of ‘public health’ in recent months includes: minimum pricing for alcohol, plain packaging for tobacco, a 20 per cent tax on fizzy drinks, a fat tax, a sugar tax, a fine for not being a member of a gym, graphic warnings on bottles of alcohol, a tax on some foods, subsidies on other foods, a ban on the sale of hot food to children before 5pm, a ban on anyone born after the year 2000 ever buying tobacco, a ban on multi-bag packs of crisps, a ban on packed lunches, a complete ban on alcohol advertising, a ban on electronic cigarettes, a ban on menthol cigarettes, a ban on large servings of fizzy drinks, a ban on parents taking their kids to school by car, and a ban on advertising any product whatsoever to children.
Doubtless many of the proponents of these policies identify themselves as ‘liberals’. We must hope they never lurch towards authoritarianism. […]
As the definition of ‘health’ has been changed, so too has the meaning of ‘public health’. It once meant vaccinations, sanitation and education. It was ‘public’ only in the sense that it protected people from contagious diseases carried by others. Today, it means protecting people from themselves. The word ‘epidemic’ has also been divorced from its meaning — an outbreak of infectious disease — and is instead used to describe endemic behaviour such as drinking, or non-contagious diseases such as cancer, or physical conditions such as obesity which are neither diseases nor activities. This switch from literal meanings to poetic metaphors helps to maintain the conceit that governments have the same rights and responsibility to police the habits of its citizens as they do to ensure that drinking water is uncontaminated. It masks the hard reality that ‘public health’ is increasingly concerned with regulating private behaviour on private property.
The anti-smoking campaign is where the severe new public-health crusade began, but it is not where it ends. Libertarians warned that the campaign against tobacco would morph into an anti-booze and anti-fat campaign of similar intensity. They were derided; ridiculed for making fallacious ‘slippery slope’ arguments. In retrospect, their greatest failing was not that they were too hysterical in their warnings but that they lacked the imagination to foresee policies as absurd as plain packaging or bans on large servings of lemonade, even as satire.
