The Aid Debate
By Zulfiqar Rana, MD, MPH
Mobile, AL
www.soach.org

According to the Millennium Project "more than one billion people in the world live on less than one dollar a day. In total, 2.7 billion struggle to survive on less than two dollars per day".
Eradication of poverty is a noble but utopian goal according to many. When Jeffery Sachs published "The End of Poverty: Economic Possibilities for Our Time," amid much fanfare it was considered by some as the answer to this perennial problem. The book had a gusto that was infectious, a vision that was grand and a flair of a rock star (its introduction was written by Bono). According to Sachs who also works for the Millennium Project, "Extreme poverty can be ended, not in the time of our grandchildren, but our time" – a lofty claim indeed. One of the key factors to end poverty is through aid given by rich countries. However, there are problems with this approach. There is often a disparity between the money pledged and the money actually donated. Also, the goal of optimal amount of aid as defined by 0.7% of the national income is rarely realized. An average American on the other hand thinks that the US gives about 25% of its budget in foreign aid (the actual number is less than 1%).
A recent book by William Easterly, "The White Man's Burden: Why the West's Efforts to Aid the Rest Have Done So Much Ill and So Little Good," suggests that the world's official aid agencies, especially the World Bank, the International Monetary Fund, the UN, have been peddling the same failed aid plans for the last 50 years or so. He is critical of the Sachs idea of big money and big push to end the poverty trap. Instead he makes a distinction between Searchers and Planners. Planners approach the problem from supply side, go big and mostly underachieve. The Searchers think small, piecemeal steps and bring about a slow change. According to him Searchers achieve the most in the end.
Easterly does no go without a challenge though. Amartya Sen is pretty critical of him. The most serious charge against Easterly is not about his premise though. According to Sen his analysis falls short of academic standards. For example, Sen points out that his statistical analysis fails to establish a negative association between economic aid and poverty. Sen goes on to say:
"Many such studies are also impaired by difficulties in identifying what is causing what. For example, a country's economic distress may induce donors to give it more aid -- which may, in terms of associative statistics, suggest a connection between aid and bad economic performance. But using such a correlation to prove the bad effects of aid turns the causal connection on its head. Easterly tries to avoid such pitfalls, but the statistical associations on which he draws for his comprehensive pessimism about the effects of aid do not offer a definitive causal picture."
It is hard to prove negative or positive association in this sort of studies where there are too many variables involved. Often it is hard to measure progress or change in concrete terms. For some the answer lies in too-little-too-late approach by the donor countries while for others it is the corrupt and inefficient bureaucracies of the countries accepting donations that are to blame. We thus see two opposing paradigms pitted against each other. One is for big push and big money and the other is for piecemeal change that comes from within.
The former premise appeals to most of the people in the Third World and many whistle blowers and to people who are weary of big organizations like the World Bank, the IMF and the UN. The latter makes sense to most of the people in the Western world. Perhaps like many other debates this one is also too metaphysical to reach one true conclusion – perhaps the final answer lies in the eyes of the beholder.

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Editor: Akhtar M. Faruqui
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