Health
Study urges tobacco-style rules for ultra-processed foods
A new study suggests ultra-processed foods (UPFs) should face restrictions similar to tobacco, arguing that these products are engineered to drive compulsive consumption and may create addictive behaviors. Researchers from Harvard, Duke, and Michigan universities compared UPFs to cigarettes in design, marketing, and distribution, calling for stricter regulation of the industry rather than relying on individual choice.
“Some ultra-processed foods have crossed a line,” said Ashley Gearhardt, a psychology professor at the University of Michigan and one of the study’s authors. She noted that fizzy drinks, sweets, and fast food are designed less like traditional food and more like cigarettes, optimised for craving, rapid intake, and repeated consumption. “That level of harm demands regulatory action aimed at industry design and marketing, not individual willpower,” Gearhardt added.
The study highlights the growing consumption of UPFs worldwide and their links to serious health risks. Diets high in these products have been associated with obesity, diabetes, metabolic disorders, heart disease, and certain cancers, the World Health Organization warns. Examples of ultra-processed foods include frozen pizzas, ready-made meals, sweetened breakfast cereals, biscuits, sausages, ice cream, chicken nuggets, fish fingers, and instant noodles.
Researchers argue that many UPFs share more characteristics with cigarettes than with minimally processed fruits and vegetables. Both tobacco and UPFs begin as natural substances with low addictive potential but are industrially engineered to maximise consumption, accessibility, and profit. According to the study, understanding this industrial design should shift the focus from individual responsibility to corporate accountability.
“The foods driving modern epidemics of obesity, diabetes, and metabolic disease are not inherently harmful in their natural form,” the paper notes. “These products are carefully engineered to maximise hedonic impact, consumption, and profitability through industrial processing.”
The study recommends policies modeled on tobacco control to curb the impact of UPFs. Suggestions include taxes on nutrient-poor ultra-processed foods, restrictions on advertising—particularly to children—and reducing availability in hospitals and schools. Researchers also call for clearer product labelling, warning that marketing claims like “low fat” or “high protein” often mask highly processed products as healthier than they are.
Consumption of UPFs is rising rapidly. In the United States, over half of daily calories come from ultra-processed products, while in the United Kingdom, they make up almost two-thirds of adolescent calorie intake. Researchers warn that without targeted regulation, the health burden associated with these products will continue to grow.
By framing ultra-processed foods as industrially engineered and potentially addictive, the study emphasizes the need for regulatory approaches that go beyond education campaigns, aiming to hold manufacturers accountable for design and marketing practices that contribute to global health risks.
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Uzbekistan to Launch Nationwide State Medical Insurance System in 2026
Uzbekistan will begin introducing a nationwide state medical insurance system from 2026, part of a broader overhaul of the country’s healthcare financing and service delivery. The reform will introduce digital referrals, a national health insurance fund, and a guaranteed package of essential medical services funded through the state budget. Officials say the changes aim to improve efficiency, expand access, and reduce informal payments.
“State health insurance is a social protection system designed to guarantee access to quality healthcare services,” said Zokhid Ermatov, executive director of the State Health Insurance Fund.
Discussions about state medical insurance in Uzbekistan began in 2017, but implementing such a system required years of preparation. The State Health Insurance Fund was formally established in December 2020, and pilot programmes launched in the Syrdarya region in 2021 tested new financing mechanisms, regulatory frameworks, and digital health systems. In November 2025, the Cabinet of Ministers approved regulations governing how medical care funded through the state budget will be provided in public and private medical institutions, with the rules set to come into force on January 1, 2026.
At the centre of the new model is stronger primary healthcare. Patients will first visit their assigned family clinic, where doctors provide consultations, prescribe tests, and determine whether specialist care is needed. If necessary, patients will receive an electronic referral to hospitals or specialists. Emergency and urgent care will remain available without referrals.
The reform introduces a patient-centred financing model, where healthcare providers are paid by the State Health Insurance Fund based on services delivered. Primary healthcare will be funded through capitation payments, while hospital treatment will follow case-based payments, a structure designed to improve efficiency and treatment outcomes.
A fully digital referral system will allow patients to choose hospitals from a list of institutions contracted with the State Health Insurance Fund using a government portal or mobile app. Referrals will remain valid for 60 days, and waiting lists and hospitalisations will be managed through a unified electronic health information system.
The insurance system guarantees essential healthcare services, including family doctor consultations, diagnostic tests, outpatient treatment, preventive screening, some medicines, hospital care, and certain rehabilitation services. Patients will not be charged additional fees for services included in the approved package.
Funding for the program will come primarily from the state budget, ensuring citizens do not pay direct insurance contributions. Priority access will be given to socially vulnerable groups, including children with disabilities, orphans, pensioners, pregnant women, unemployed citizens, and low-income families. The State Health Insurance Fund will allocate resources across regions to strengthen medical services and reduce inequalities.
International organisations have praised Uzbekistan’s approach, noting that general tax financing and universal coverage can improve financial protection and ensure predictable healthcare funding. Jessika Yin, Health Policy Adviser at the World Health Organization in Uzbekistan, said the reforms align with global trends toward universal health coverage.
If implemented successfully, Uzbekistan’s state medical insurance system could represent a major step toward universal healthcare, ensuring that people receive care without facing financial hardship.
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