Depending on which country you live in, if you bought an airline ticket lately you may have saved a life without even knowing it. A number of countries have implemented a small airfare tax (also referred to as the “solidarity tax”) to raise funds to fight three of the world’s deadliest diseases: HIV/AIDS, Malaria, and Tuberculosis. In France, for example, air travelers pay an additional €1 in tax on domestic tickets and if in business class, €10. With aid falling, innovative finance mechanisms, such as microdonations, will be crucial in solving serious global problems. As quoted in a recent article in the Financial Times, Philippe Douste-Blazy, the man behind the airfare tax (also the former French Minister of Foreign Affairs), says that “certain sectors have benefited enormously from globalization: financial transactions, tourism and mobile phones. We need to tax an economic activity that’s only done by the rich, and tax it so lightly that nobody will notice.” He says  the additional tax travelers pay is “absolutely painless!”
It’s interesting that governments have to intervene to make citizens donate such a “painless” amount; although, had the traveler been given the option to donate before purchasing a ticket, the chance of him/her doing so may not be so great. Questions will be asked such as: “Will this truly help the sick and poor?” “Is this a gimmick?” The minutes are ticking. In the end, the traveler just wants to buy the ticket. Trust and effort may be determining factors, even if the amount is “painlessly” small. The beauty of the airfare tax is that the customer doesn’t have to make any “tough” decisions, because the government has done it for us. The amount is small, barely noticeable, and can save lives.
Douste-Blazy’s idea of airfare tax came about in 2006  while on an airplane (ironically) with France’s President Chirac and Brazil’s President Lula discussing ways to increase western aid to developing countries. Their conversation resulted in UNITAID , an international drug purchasing agency, launched in 2006  by the governments of Brazil, Chile, France, Norway and the United Kingdom. UNITAID buys large volumes of lifesaving drugs on the cheap from pharmaceutical manufacturers, which brings the prices of drugs down, and encourages the medical industry to invest in research and development for better and new medicines with high-volume production. Through innovative spending, those in need are receiving better medicines, delivered faster and at lower cost.
From 2006 to 2011, UNITAID raised $2.2 billion, with 70% generated from the airfare tax. The agency’s website provides a detailed review of results as well as an interactive map  with projects and the amount spent on medical products around the world. UNITAID supplies 93 countries with treatments and supports 8 out of 10 children on AIDS treatment globally. Moreover, the agency has invested $200 million in Tuberculosis treatments and has distributed over 20 million quality bed nets have been distributed to prevent the spread of Malaria. (See UNITAID's Thank You Campaign )
Today, there are 29 countries  contributing to UNITAID in the form of tax and regular donations. The following countries have implemented the airfare tax: Chile, France, Madagascar, Mauritius, Niger, and the Republic of Korea. Norway also contributes, but through parts of a different air tax. The following graphic  shows the amount of tax applied in three countries and its contribution to saving lives.
Progress towards getting other countries to implement the tax seems a bit slow. In an interview  with UNITAID’s Executive Director Denis Broun, talking about the potential of India joining, he says that arguments against the airfare tax are “absolutely bogus. It has no impact on government budgets, airline traffic or the economy.” In the case of India, he points out that the airfare tax would be a win-win situation for the country. First of all, Indian patients will benefit and since most of the drugs UNITAID buys are from the Indian pharmaceutical industry, it will go back into the economy. While the Indian airline industry is suffering a high debt, the country has the fastest growing  air passenger market with 61 million people travelling in 2011. Imagine if they implemented the tax!
So what’s next for UNITAID? While lobbying other countries to join the initiative, they are also pursuing an extension of the tax to financial transactions . Just last month, 11 Euro zone countries agreed  to implement a Financial Transaction Tax (FTT) as a way to protect governments and consumers from future financial crises. France implemented the FTT in August this year, and will commit  a small percentage of the revenues from the tax to development. When addressing  the UN General Assembly in September, French President Hollande praised UNITAID and called on other countries to implement innovative finance mechanisms, such as the FTT. He said, “This would be a beautiful example of what I call the globalization of solidarity.”
While “solidarity taxes” provide predictable and sustainable revenue streams for aid (and the health sector specifically through UNITAID), one can’t help but wonder if this will impact countries’ overall aid budgets, or aid to other development sectors. Also, what about other global initiatives, will they be competing for funds? Nevertheless, UNITAID has proved that “painless” microdonations on the quiet are effective and is making an impact in fighting the world’s deadliest diseases. And what is truly fascinating is what the success of the method says about human beings and human behavior. I will explore this further in my next blog post.
Photo Credit: Salvatore Vuono/FreeDigitalPhotos.net