Showing posts with label The Wall Street Journal opinions. Show all posts
Showing posts with label The Wall Street Journal opinions. Show all posts

Thursday, January 21, 2010

To Help Haiti, End Foreign Aid

Source: The Wall Street Journal 
http://online.wsj.com/article/SB40001424052748704541004575010860014031260.html

 * OPINION: GLOBAL VIEW    * JANUARY 20, 2010

 
TO HELP HAITI, END FOREIGN AID

It's been a week since Port-au-Prince was destroyed by an earthquake. In the days ahead, Haitians will undergo another trauma as rescue efforts struggle, and often fail, to keep pace with unfolding emergencies. After that—and most disastrously of all—will be the arrival of the soldiers of do-goodness, each with his brilliant plan to save Haitians from themselves.

"Haiti needs a new version of the Marshall Plan—now," writes Andres Oppenheimer in the Miami Herald, by way of complaining that the hundreds of millions currently being pledged are miserly. Economist Jeffrey Sachs proposes to spend between $10 and $15 billion dollars on a five-year development program. "The obvious way for Washington to cover this new funding," he writes, "is by introducing special taxes on Wall Street bonuses." In a New York Times op-ed, former presidents Bill Clinton and George W. Bush profess to want to help Haiti "become its best." Some job they did of that when they were actually in office.

All this works to salve the consciences of people whose dimly benign intention is to "do something." It's a potential bonanza for the misery professionals of aid agencies and NGOs. And it allows the Jeff Sachses of the world to preen as latter-day saints.

For actual Haitians, however, just about every conceivable aid scheme beyond immediate humanitarian relief will lead to more poverty, more corruption and less institutional capacity. It will benefit the well-connected at the expense of the truly needy, divert resources from where they are needed most, and crowd out local enterprise. And it will foster the very culture of dependence the country so desperately needs to break.

How do I know this? It helps to read a 2006 report from the National Academy of Public Administration, usefully titled "Why Foreign Aid to Haiti Failed." The report summarizes a mass of documents from various aid agencies describing their lengthy records of non-accomplishment in the country.

Here, for example, is the World Bank—now about to throw another $100 million at Haiti—on what it achieved in the country between 1986 and 2002: "The outcome of World Bank assistance programs is rated unsatisfactory (if not highly so), the institutional development impact, negligible, and the sustainability of the few benefits that have accrued, unlikely."

Why was that? The Bank noted that "Haiti has dysfunctional budgetary, financial or procurement systems, making financial and aid management impossible." It observed that "the government did not exhibit ownership by taking the initiative for formulating and implementing [its] assistance program." Tellingly, it also acknowledged the "total mismatch between levels of foreign aid and government capacity to absorb it," another way of saying that the more foreign donors spent on Haiti, the more the funds went astray.

But this still fails to get at the real problem of aid to Haiti, which has less to do with Haiti than it does with the effects of aid itself. "The countries that have collected the most development aid are also the ones that are in the worst shape," James Shikwati, a Kenyan economist, told Der Spiegel in 2005. "For God's sake, please just stop."

Take something as seemingly straightforward as food aid. "At some point," Mr. Shikwati explains, "this corn ends up in the harbor of Mombasa. A portion of the corn often goes directly into the hands of unscrupulous politicians who then pass it on to their own tribe to boost their next election campaign. Another portion of the shipment ends up on the black market where the corn is dumped at extremely low prices. Local farmers may as well put down their hoes right away; no one can compete with the U.N.'s World Food Program."

Mr. Sachs has blasted these arguments as "shockingly misguided." Then again, Mr. Shikwati and others like Kenya's John Githongo and Zambia's Dambisa Moyo have had the benefit of seeing first hand how the aid industry wrecked their countries. That the industry typically does so in connivance with the same local governments that have led their people to ruin only serves to help keep those elites in power.

A better approach recognizes the real humanity of Haitians by treating them—once the immediate tasks of rescue are over—as people capable of making responsible choices. Haiti has some of the weakest property protections in the world, and some of the most burdensome business regulations. In 2007, it received 10 times as much in aid ($701 million) as it did in foreign investment.

Reversing those figures is a task for Haitians alone, which the world can help by desisting from trying to kill them with kindness. Anything short of that and the hell that has now been visited on this sad country will come to seem like merely its first circle.

Write to bstephens@wsj.com

The Wall Street Journal's view of the Cheaper Medicines Act

Source: The Wall Street Journal

http://online.wsj.com/article/SB10001424052748704541004575012210915754250.html

    * OPINION ASIA     * JANUARY 20, 2010, 12:32 P.M. ET

MANILA'S DOSE OF ECONOMIC POPULISM
Price controls on drugs and other bad election-season ideas.

The Philippines' Congress has been agitating for a second round of price controls on drugs, which would follow close on the heels on an initial round of price controls that just went into effect in August. Here we go again.

The department of health issued a letter on January 6 with a "request" for drug companies to submit lists of drugs whose prices they would be willing to cut by 50%. The last time they issued such a "request," the result was a mandatory price cut of 50% for five branded drugs, and "voluntary" cuts for a further 16 drugs. Undersecretary of Health Alexandra Padilla has said that this second round could include even more drugs than the first round.

These controls are legal under the 2008 "Cheaper Medicines Act," but that doesn't make them good policy. The Department of Health writes in its January 6 letter that its request for price cuts is part of efforts "to improve access to essential medicines especially for the poor." But it has not presented any evidence that proves the current price controls have improved access for the poor. (The Department of Health did not return multiple telephone calls requesting comment.)

Health impact aside, what is certain is that price controls send a strong signal to all pharmaceutical companies about the desirability of doing business in the Philippines. The first round of price cuts dug into drug profits—not only for the makers of the 21 drugs affected, but also for generics manufacturers, who had to lower their prices to stay competitive. Hospitals and pharmacies saw profit margins wither as well—hardly encouraging for anyone who's thinking of investing in the health-care industry.

Unfortunately drugs are not the only sector suffering from the government's populist enthusiasm. Price limits were put in place for oil in October following two devastating typhoons, and lifted only once it became clear that the controls were drying up supply. Earlier this month the government also threatened to impose price controls on cement.

Congressmen may be hoping to score populist points with voters come May, but these moves fly in the face of the policies that have made the Philippines prosper over the last several decades. The last time price controls were widely used was during the reign of Ferdinand Marcos, who was overthrown in 1986. Many voters are old enough to remember how that turned out—with shortages of rice and unemployment at times near 25%.

Pharmaceutical sales are a $2.5 billion-a-year industry in the Philippines, and arbitrarily punishing drug companies only sets a bad precedent for other industries. If Congressmen really wanted to improve health care, they could cut taxes on medicines (currently at 12%), allocate resources toward keeping fake drugs out of the market, or develop the fledgling insurance industry. Populist shenanigans only risk making things worse.