In age of globalisation :
Development, a new global deal
by Manuel Montes
The big attraction of the eight Millennium Development Goals (MDGs),
or at least the first seven of these, was their near universal
acceptability. It mobilised both resources and politics, both nationally
and internationally, in pursuit of reducing the level of poverty,
hunger, gender inequality, malnutrition and disease. Since they were
introduced, the excitement over the MDGs fully occupied the space for
development thinking.
The MDG discourse - in international agencies and in national
settings - appears to have crowded out the basic idea that development
is about economic transformation.
The MDG discourse forgot that, while development can provide the
means to check poverty and deprivation, development policies directed at
reducing poverty do not necessarily lead to moving people permanently
from less productive to more productive jobs.
Poverty reduction is not the same as economic transformation.
Economic development requires a new global deal which requires that
countries have the policy tools to transform their economies. This is
what development-led globalisation entails.
Targets
Take the question of setting health targets. A debate has broken out
about whether universal health coverage should be a goal. First of all,
some developed countries, such as the United States, do not themselves
have universal coverage as a goal in the health sector.
Like many other facets of the global economy, such a goal would apply
to developing countries but could exempt rich countries from a similar
obligation.
Secondly, setting a goal of universal health coverage, even if
possibly a basic human right, does not address the actual determinants
of health outcomes, which include the usual indicators of deprivation
including household poverty, but must also include affordable access to
medicine and an effective domestic health care system.
The availability and cost of medicine, the overwhelming proportion of
which is still sourced from developed countries, has been a sore point
for developing countries for a long time. Moreover, too much (as
compared to the afflicted population) research and medical production
are oriented toward diseases and maladies in the developed countries.
Should there be agreed global goals in terms for the “right” kinds of
medicines and their affordability? Which parties should accept these
goals as their obligation? Building capabilities in producing medicines
in developing countries could certainly be transformative - moving the
labor from less productive to more productive jobs.
But this will require developing countries to have affordable access
to technology, which will require easing the monopoly rights over the
use of technology now being granted to those recognized as their
inventors.
Domestic
Building effective domestic health systems will require upgrading
domestic human resources and government capacities in building,
maintaining, regulating, and financing the health sector.
Historically, these new capabilities have involved many of the most
important aspects of economic transformation.
Otherwise these health systems must forever rely on the goodwill of
foreign donors and private foundations.
At this point, it is really important to restore a genuine
development discourse and the global community must seize this
opportunity.
In fact, the idea that developed countries need only worry about
poverty and the well-being of the populations in other countries, and
not their development, dates from colonial times.
In the 1930s, as the scramble for colonies from the late 19th century
ended, colonial powers sought to justify external control by proposing a
new note of responsibility for “native welfare” which economist Arndt in
1987 described as “quite distinct from that of economic progress or
development.”
For example, the Colonial Development and Welfare Act adopted by the
UK government in 1939 provided for minimum standards of nutrition,
health, and education in territories and trusteeships.
In the same analysis, Arndt refers to a W. Arthur Lewis critique of a
World War II British economic plan for Jamaica, for a failure to
distinguish between “social welfare” as raising the standard of living
in the colony and “economic development.”
De-Colonising the MDGs is necessary if the agreed post-2015 global
goals are to be truly developmental. In the framework of development-led
globalisation, Africa is not just a continent whose extreme poverty the
international community must focus on but a diverse set of countries,
each with their own human and natural resources, which can be deployed
toward their own development.
This diversity creates enormous space for regional cooperation in
pursuit of overcoming dependence on commodity exports - whose earnings
are highly unstable - and establish domestic industries to provide
productive jobs.
- Third World Network Features.
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