The explanation is twofold. First, lobbying is intense in the network of public health policy making and the EP is subject to ferocious lobbying by the private (industry) sector, which is often opposed to particular public health measures. However, industry exerts this kind of influence because the most powerful weapon that NGOs can employ is moral outrage. To be sure, many health crises do not lend themselves to emotional appeals that will mobilize the public and that will curb the political influence of producers.
This paper will compare tobacco control with the many measures that have been contemplated to address obesity and diets high in (unhealthy) calories. In the case of smoking, NGOs had the moral upper hand. But it has been difficult to galvanize voters by mentioning BMI (body mass index) and growing incidence of diabetes. Food and food companies do not carry a moral stigma because they sell products with refined sugar or high salt content or ‘bad’ fats. Unable to fall back on the moral high ground, NGOs are no match for the private sector and the EP is defenseless against (unrestrained) industry lobbying.