One of my favorite videos (also a favorite of any Cornell professor who discusses any aspect of global health) is Hans Rosling’s “200 Countries, 200 Years, 4 Minutes.” If you have not see it, the video displays a plot of lifespan v. income. Two hundred countries are then placed on this scatter plot in their positions in 1810, and subsequently followed each year until 2009. What I like the most about this video is that all countries are displayed on the same graph, suggesting that all countries are experiencing the same external factors that affect their numbers on the graph. Although it is evident that some (‘developed,’ if you will) countries pull ahead quickly toward the high income/high lifespan side of the chart, all countries are continually on the move, and the video gives the sense that each country is intrinsically linked to the next. In particular, when the timer reaches the mid 1900’s, all countries shoot upwards toward the high income/high lifespan side of the chart, again suggesting a universal force acting upon all countries.
In the article, the ‘Development of Underdevelopment,’ Gunder Frank challenges our definition of an ‘underdeveloped’ country. He comments that “it is generally held that economic development occurs in a succession of capitalist stages and that today’s underdeveloped countries are still in a stage, sometimes depicted as an original stage of history, through which the now-developed countries passed long ago.” However it does not make sense that today ‘underdeveloped countries’ are experiencing the early stages of developed nations, as these ‘underdeveloped countries’ have experienced the same capitalist market forces as the rest of the world. This can be visualized in Hans Rosling’s video – again I will draw your attention to the fact that the entire world moves together toward higher incomes and longer lifespans. Following this logic, if capitalism has been present in the development of these countries for the entirety of their lifespans, then ‘capital shortage’ is not causing the evident ‘underdevelopment.’ On the contrary, Gunder Frank actually argues that it is ‘capitalism itself’ which has caused the underdevelopment we see in the so called third world countries.
At the heart of capitalism has been the creation of ‘satellite’ countries which serve to export raw goods to larger ‘metropoles.’ An economy that relies on exportation of raw materials is unsustainable and will ultimately collapse; the very nature of their economic structure dooms ‘satellite’ countries to be ‘undeveloped’ and poor. This is because an export-dependent economy is “highly vulnerable to fluctuations in global supply and demand” and when demand decreases, the economy will fail (Kueker, 2007). For example, Ecuador is a satellite country to much of the developed world and its economy relies on the exportation of raw materials like crops (e.g, bananas) and oil. Unfortunately, this economic structure faced total collapse in 1999 and Ecuador had no choice but to dollarize its economy to maintain what little economic foothold it had on the national market (Kueker, 2007). Today, the economic situation in Ecuador is dire. Over 50% of the population is unemployed, and malnutrition rates are soaring (D’Amico, 2012). While Gunder Frank brings up an interesting point about the cause of un/underdevelopment, the reality of today is that poverty and malnutrition levels are high, whilst nutrition and employment levels are low in many parts of the world. The more important question now is what can be done to improve the livelihoods of individuals in these locales. In the past, many development agencies have tried to inject money and capitalist ideals into developing countries to pull them into health and prosperity. Gunder-Frank’s paper suggests that this tactic will not work, as capitalism is the cause of the underdevelopment…So what can be done?
Fergusen tackles this question, but does not give a satisfactory answer. He discusses the role of Western development agencies, and how these groups attempt to ‘develop’ third world countries. Fergusen reiterates many of Gunder Frank’s comments – he tells a story about the development of a community called Lesotho, and describes the realization of development agencies that “‘opening up’ the country and exposing it to the ‘cash economy’ [has] little impact, since Lesotho has not been isolated from the world economy for a very long time.” Because development agencies consistently and incorrectly assume that infusion of money and a capitalism-based system is what a developing country needs to improve its situation, these agencies consistently fail their missions to help. One interesting part of this paper was the discussion of the unintended side effects of these failed missions. In the example of the failed development of Lesotho, an unintended side effect was the creation of a main road connecting the community to the capital. This had huge consequences on the community (e.g., increased government presence). I could not help but to think about the Intag region when I was reading about the consequences of this road – if one single road could cause so many changes in Lesotho, it is hard to imagine the scale of the multitude of unintended consequences of a large open-pit mine that destroys clean water and enormous biodiversity in Intag.
Because injecting money directly into the system cannot improve developing nations (and has, in fact, many unintended side effects), Ferguson concludes his paper by saying that what Americans should do is “[combat] imperialist policies.” I find this conclusion neither satisfying nor very helpful. While perhaps yes, Americans could benefits from a less ethnocentric point of view, it still does not get us any closer to an active solution for real time problems. How does Ferguson think we should act? His conclusion provides us with more of a mindset than an approach to start taking action. I think that solutions we touched upon last week regarding CBR and community based design are more valid solutions. The best ‘developments’ are ones that are designed with community members, and developers should not go in with a project in mind until they have spoken to stakeholders on the ground. Already this is what we are doing for our projects in Intag – for the coffee project we have met with Jose Cueva and heard what he wants from us; from these conversations, our project aims have been redirected. A remaining question that I have, however, is whether CBR in individual communities is the best solution to tackle national development. If, for example, the entire country of Ecuador requires economic and health improvement, is there a better approach that can be undertaken on a more national scale? Fixing problems community-by-community seems to be a very tedious process. Perhaps a political change may be more time efficient.
(Hmm I am opting out of part II of this weeks blog post questions… I have no experience with international development to draw upon, nor any solid knowledge base about it to make an intellectual sounding argument here. Sorry!)