What, you think I was kidding with this?
If we are going to go socialist on the health care in this country, we may as well go all out. Yearly physicals/check-ups, which includes a certified fitness test. If you are rich and don't care, let yourself go. If you want to keep a few hundred bucks from Uncle Sam, make sure you (and your kids) don't get into the obese category. Pushups, situps, pullups, timed runs, etc. Think old-school Presidential Physical Fitness Test, but with money on the line.
Putting a tax on fatty/sugary foods will not solve the problem and is inherently unfair. Some people stay in shape regardless of their food choices. Creating a tax scheme for "unhealthy" foods would be a mess, and would be rife for abuse by special interests.
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