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Public Support for Regulating the Public                           245

               motivation, opportunity, and ability (MOA) within individuals. Often,
               downstream  efforts  assumed  that  the  absence  of  adequate  information
               about the problem behavior and its consequences impeded people’s ability
               to make the “right” choice. More recently, attention has turned to the con-
               ditions that affect motivation and opportunity, such as the availability and
               presentation of alternatives to the “bad” behavior.
                  Upstream marketing views the process of effecting change as “political.”
               With upstream marketing, the underlying assumption of the process is
               that behavior (and related MOA) is embedded in an environment that
               shapes and creates meaning for the behavior (e.g., smoking is a ritual for
               young adults when partying, smokeless tobacco is embedded in baseball
               and rodeo environments). The motive for political action stems from the
               view that these problems result from a lack of power between consumers
               and marketers, not a lack of information. Marketers have the power and
               resources to shape consumer environments, create product/brand tribes,
               and so on. While the downstream approach argues that individuals can
               resist a specific choice in such environments, the upstream view argues
               that it is fundamentally hard to even envision a “decision” when one is
               embedded in an environment and surrounded by norms shaped by a mar-
               keter’s hand (e.g., it is hard to resist the matrix when you are in the ma-
               trix). Thus, the process of change must involve reshaping the environment
               through political means and influencing powerful parties through public
               opinion, pressure, and debate.
                  Downstream marketing tactics can be framed in terms of manipulating
               one or more of the four marketing “P’s” (promotion, product, place, and
               price). The P’s are manipulated to alter the perceived and actual benefits
               and costs associated with a behavior, and as such alter a person’s motiva-
               tion, opportunity, and ability to engage in (or avoid) the behavior
               (Rothschild, 1999). In contrast, upstream marketing can be framed in
               terms of either a push or pull strategy. A push strategy (such as lobbying)
               is one where the marketer seeks to directly influence a key organizational
               decision maker in order to create conditions that encourage (push) the
               appropriate behavior onto consumers (e.g., increase the state sales tax on
               “sin” products). A pull strategy (such as media advocacy or public will) is
               one where the marketer seeks to influence organizational decision makers
               by directly influencing public opinion. Then, ideally, an individual or so-
               ciety-driven desire is created that advocates for changed conditions to pro-
               mote pro-social behaviors. Public health scholars (Wallack & Dorfman,
               1996; Siegel & Lotenberg, 2007) argue that utilizing a pull strategy such
               as media advocacy (using mass media as a “political” tool) should be a
               critical feature of the new public health. This view is based on the
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