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Public Support for Regulating the Public                           253

               intended to limit the marketing of “high-sugar” foods will depend upon
               the extent to which one believes that a child’s preference for such foods is
               the product of marketing communications (socially constructed), that the
               costs of obesity are borne by the taxpayers (public problem), and that al-
               most all parents and children know that cola has a great deal of sugar and
               too much sugar can make people fat.
                  There are many depictions of the process that can lead to the creation of
               a law or expenditure with the objective of enhancing public health or the
               environment. There is a vast amount of research in multiple fields that
               sheds light on critical links in the process. Below, we will provide a brief
               introduction to this stream, often referring the reader to sources that can
               provide more in-depth discussion. Our goal is to set the potential role of
               marketing in terms of understanding the exchange faced by a “voter” in
               the broader policy-change context.


               The Upstream Process, Key Actions, and Marketing’s Role

                  The Upstream Process

                  A campaign to induce elected officials to pass a law that contributes to
               a public health objective is often called a public will campaign. Figure 9.1
               draws on literature from marketing—public health literature in general
               and Coffman’s (2002) “logic model” in particular—to depict the process
               that can lead to the passage of a policy that restricts behaviors to achieve a
               public good.
                  To create policy change with a public will campaign, the agent interacts
               with potential allies and forms a coalition; the coalition can communicate
               either directly to the public (message dissemination) or to legislators (lob-
               bying). The coalition can also attempt to indirectly influence these key
               players by engaging in media advocacy, which entails communicating to
               the media, which in turn communicate to both legislators and the public.
               Whether message dissemination or media advocacy is used, the logic is
               that attention is given to the issue (first-tier agenda setting), pro-policy
               beliefs are formed (second-tier agenda setting/framing), the beliefs induce
               support for the policy, and public support leads to legislative support and
               passage of the policy.
                  Following both Coffman (2003) and the norms of logic models, the
               process is depicted from the perspective of the change agent. The concep-
               tual model highlights the key steps that an agent should take to reach
               short-term, intermediate, and long-term goals. This brief review of the
               upstream process includes a discussion of the nature of support for the
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