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1. Poor Countries Need Relief from the World Bank's 'Help' on Malaria.

Author:
Roger Bate
Publication Date:
10-2006
Content Type:
Working Paper
Institution:
American Enterprise Institute for Public Policy Research
Abstract:
The World Bank attempts to improve health in poor countries by providing advice in health financing and infrastructure development, as well as grants and loans to poor countries. This is a formidable mission given that the greatest difficulty poor countries have in carrying out public health programs is their lack of infrastructural, managerial and clinical capacity. Its efforts to this end have been diluted by irresponsible forays into disease control financing without a commensurate increase in institutional competence with only limited technical staff capacity. Instead of deferring to the World Health Organization for technical advice on malaria control, Bank staff members have promoted ineffectual malaria prevention and treatment, causing countries to move away from best practices in disease control. The Bank has been criticized in the Lancet medical journal, and its senior staff claim that changes have been made. This working paper reviews the most recent performance from the Bank, which demonstrates the continuing failure of its malaria work. The Bank should stick to its core mission of funding health systems and get out of the disease control business.
Topic:
International Relations, Debt, Economics, and Third World

2. Tariffs, Corruption and Other Impediments to Medicinal Access in Developing Countries

Author:
Roger Bate, Kathryn Boateng, Lorraine Mooney, and Richard Tren
Publication Date:
08-2006
Content Type:
Working Paper
Institution:
American Enterprise Institute for Public Policy Research
Abstract:
There are many factors which hamper health care delivery in the developing world. These factors include tariffs, taxes, corruption, such as bribes and other local price inflators on medicines and medical products. Non-tariff barriers, such as lengthy registration periods for medicines and onerous requirements to clear customs, also restrict the availability of medication in the developing world. According to the World Health Organization, approximately one-third of the world's population lacks access to essential medicine and proper medical treatment. Drawing upon extensive evidence from surveys and accounts from the field, this paper examines the impact of tariffs, taxes and other markups on imported medicines and medical products provided to lesser developed countries by pharmaceutical companies, not-for-profit groups, for-profit corporations, multilateral and bilateral aid and health agencies. The paper discusses how these regulatory barriers affect access to medication. The authors conclude that although efforts to reform the current system of government revenue generation through tariffs collection may meet resistance in many developing countries, especially those featuring systemic corruption and those with domestic production, governments which take steps to eliminate tariffs could in fact expedite health care delivery and consequently improve the well-being of their people.
Topic:
Corruption, Economics, Health, and Third World

3. Beyond Kyoto: Real Solutions to Greenhouse Emissions from Developing Countries

Author:
Roger Bate and David Montgomery
Publication Date:
07-2004
Content Type:
Working Paper
Institution:
American Enterprise Institute for Public Policy Research
Abstract:
Whether the Kyoto Protocol is ever ratified is fast becoming irrelevant. Many of the European nations that ratified the convention are failing to reach their targets, while developing countries, not required to comply with Kyoto, claim they will never participate in targets and timetables, as it would retard their economic growth. Given that developing countries are likely to emit well over half of future greenhouse gases (GHGs), a more promising strategy would be to devise an approach that limits emissions while helping development.
Topic:
Economics, Environment, Treaties and Agreements, and Third World
Political Geography:
Europe