An evidence-based alcohol policy is receding into the rear-view mirror

Minimum pricing takes a back seat to multibuy bans – and may not even work anyway.

Friday brought the news that the government is going to be stepping up it's alcohol strategy and moving beyond the previously discussed minimum pricing.

The Telegraph's James Kirkup wrote:

The Coalition’s alcohol strategy — expected to be launched next week — will propose that special deals which encourage shoppers to buy in bulk should be outlawed.

Most supermarkets offer significant discounts for customers buying bottles of wine by the dozen or half-dozen. Sainsbury’s and Waitrose, for example, regularly offer a 25 per cent discount for six bottles of wine.

Ministers believe such promotions give customers a financial incentive to purchase more alcohol than they intended to buy and should be banned.

The Telegraph takes umbrage with these plans, citing "fears that middle-class households will bear the brunt of measures supposedly aimed at troublemaking youths and other anti-social drinkers," and while that is a distasteful way to put it – "middle-class households" and "anti-social drinkers" are not, and never have been, mutually exclusive – it touches upon a problem with expanding the scheme in this way.

Minimum pricing has had its supporters and detractors in these pages. George Eaton pointed out that it would hit the poorest hardest, Samira Shackle argued that "the evidence that alcohol consumption goes down when prices goes up is fairly strong", and I explained why attempting to increase prices through the tax system alone was not likely to be effective. But the one thing which is universally agreed to be a benefit of the proposals is that it is blind to everything but price per unit. As a result, unlike the current duty laws – which impose different taxes on cider, beer, wine and spirits, even going so far as to distinguish "cider" from "high-strength cider" – it cannot help but applied most forcefully where it would have the most impact.

Clamping down on multi-buys, by contrast, may frequently lead to price rises which have very little impact at all on the amount drunk. It is hard to imagine a situation where someone picking up a four-for-three offer on bottles of Moët champagne is likely to become less of a problem drinker if that offer is scrapped.

While it's not the most pressing concern – regardless of what the Telegraph says – it does mark out the transition of this policy package from a "hard", evidence based, attempt to deal with problem drinking to a more populist attempt to make things look like they're changing without doing that much.

Today we find that it may be that even minimum pricing – the part of the alcohol policy which has the most support of the medical community – is a busted flush. A new report from the Institute of Economic Affairs (pdf) takes a cross-national comparison of the effects of alcohol price on consumption – and focuses strongly on illicit consumption, with rates of both smuggled and home-made alcohol consumption rising.

As you would expect, the more unaffordable alcohol is, the higher "unrecorded alcohol consumption" is estimated to be by the WHO, from around 3 litres per person in countries like Finland and Sweden, down to barely half a litre per person in France and Austria.

 

While the author, Christopher Snowdon, is keen to draw parallels with prohibition, citing John Stewart Mill's claim that "to tax stimulants for the sole purpose of making them more difficult to be obtained is a measure differing only in degree from their entire prohibition, and would be justifiable only if that were justifiable," it does seem that this "unrecorded alcohol consumption" is rarely as dangerous as bathtub gin. Although the stats are not presented, the more realistic inference – and Snowdon seems to agree, given his references to the geography of the countries involved – is that this unrecorded consumption consists mainly of cross-border sales, especially in richer countries. Not only is this not particularly dangerous, it isn't even really smuggling, given almost all of the countries in the study are within the EU and thus have no requirement to pay duty or declare personal imports.

While it may not be dangerous, this unrecorded consumption adds to the key finding of Snowdon's paper: the total absence of a cross-national correlation between affordability and consumption of alcohol.

Clearly, this all plays back into the debate around minimum pricing. Although Snowdon brings up the risk that minimum pricing encourages moonshine production, and so may even harm health, it's not really important to overreach in that manner.

The key problem for advocates of minimum pricing si that if alcohol price is as poorly correlated with consumption as the above chart shows, then raising it may not do much for public health at all – while still having a strong negative effect on the private purse.

There's still a lot to be said in this debate - not least because an IEA paper, no matter how good, struggles when pitted against a Lancet paper which concludes that (pdf):

Natural experiments in Europe consequent to economic treaties have shown that as alcohol taxes and prices were lowered, so sales, alcohol consumption, and alcohol-related harm have usually increased.

But the argument is far from settled. It may be better if the government just backs off on the whole plan for a while.

Rows of booze. Photograph: Getty Images

Alex Hern is a technology reporter for the Guardian. He was formerly staff writer at the New Statesman. You should follow Alex on Twitter.

Getty
Show Hide image

Metro mayors can help Labour return to government

Labour champions in the new city regions can help their party at the national level too.

2017 will mark the inaugural elections of directly-elected metro mayors across England. In all cases, these mayor and cabinet combined authorities are situated in Labour heartlands, and as such Labour should look confidently at winning the whole slate.

Beyond the good press winning again will generate, these offices provide an avenue for Labour to showcase good governance, and imperatively, provide vocal opposition to the constraints of local government by Tory cuts.

The introduction of the Mayor of London in 2000 has provided a blueprint for how the media can provide a platform for media-friendly leadership. It has also demonstrated the ease that the office allows for attribution of successes to that individual and party – or misappropriated in context of Boris Bikes and to a lesser extent the London Olympics.

While without the same extent of the powers of the sui generis mayor of the capital, the prospect of additional metro-mayors provide an opportunity for replicating these successes while providing experience for Labour big-hitters to develop themselves in government. This opportunity hasn’t gone unnoticed, and after Sadiq Khan’s victory in London has shown that the role can grow beyond the limitations – perceived or otherwise - of the Corbyn shadow cabinet while strengthening team Labour’s credibility by actually being in power.

Shadow Health Secretary and former leadership candidate Andy Burnham’s announcement last week for Greater Manchester was the first big hitter to make his intention known. The rising star of Luciana Berger, another member of Labour’s health team, is known to be considering a run in the Liverpool City Region. Could we also see them joined by the juggernaut of Liam Byrne in the West Midlands, or next-generation Catherine McKinnell in the North East?

If we can get a pantheon of champions elected across these city regions, to what extent can this have an influence on national elections? These new metro areas represent around 11.5 million people, rising to over 20 million if you include Sadiq’s Greater London. While no doubt that is an impressive audience that our Labour pantheon are able to demonstrate leadership to, there are limitations. 80 of the 94 existing Westminster seats who are covered under the jurisdiction of the new metro-mayors are already Labour seats. While imperative to solidify our current base for any potential further electoral decline, in order to maximise the impact that this team can have on Labour’s resurgence there needs to be visibility beyond residents.

The impact of business is one example where such influence can be extended. Andy Burnham for example has outlined his case to make Greater Manchester the creative capital of the UK. According to the ONS about 150,000 people commute into Greater Manchester, which is two constituency’s worth of people that can be directly influenced by the Mayor of Greater Manchester.

Despite these calculations and similar ones that can be made in other city-regions, the real opportunity with selecting the right Labour candidates is the media impact these champion mayors can make on the national debate. This projects the influence from the relatively-safe Labour regions across the country. This is particularly important to press the blame of any tightening of belts in local fiscal policy on the national Tory government’s cuts. We need individuals who have characteristics of cabinet-level experience, inspiring leadership, high profile campaigning experience and tough talking opposition credentials to support the national party leadership put the Tory’s on the narrative back foot.

That is not to say there are not fine local council leaders and technocrats who’s experience and governance experience at vital to Labour producing local successes. But the media don’t really care who number two is, and these individuals are best serving the national agenda for the party if they support A-listers who can shine a bright spotlight on our successes and Tory mismanagement.

If Jeremy Corbyn and the party are able to topple the Conservatives come next election, then all the better that we have a diverse team playing their part both on the front bench and in the pantheon of metro-mayors. If despite our best efforts Jeremy’s leadership falls short, then we will have experienced leaders in waiting who have been able to afford some distance from the front-bench, untainted and able to take the party’s plan B forward.