Tag Archives: international

Tyler Cowen May Travel Less–or May Just Buy a Rapid Medevac Insurance Policy (Brad DeLong)

Tyler writes:

Marginal Revolution: “What’s Wrong With You?”: Don’t get sick anywhere but at home:

…doctors in Tanzania complete less than a quarter of the essential checklist for patients with classic symptoms of malaria, a disease that kills 63,000-96,000 Tanzanians each year.  The public-sector doctor in India asks one (and only one) question in the average interaction: “What’s wrong with you?”.  In Paraguay, the amount of time a doctor spends with a patient has nothing to do with the severity of the patient’s illness…these isolated facts represent common patterns…three years of medical school in Tanzania result in only a 1 percentage point increase in the probability of a correct diagnosis…One concern with measuring doctor effort through direct observation is that the doctor may work harder in the presence of the research team.

That is from “The Quality of Medical Advice in Low-Income Countries,” by Jishnu Das, Jeffrey Hammer, and Kenneth Leonard, in the Spring 2008 issue of the Journal of Economic Perspectives…

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Power Politics Confound US of Africa


Saturday February 2, 2008 6:46 PM

By ANITA POWELL

Associated Press Writer

ADDIS ABABA, Ethiopia (AP) – The United States of Africa. It’s one of few concrete plans African leaders agreed on as they struggled with issues of peacekeeping and political disputes at this week’s continental summit.

One problem is, so many countries want to be Washington, D.C.

African leaders have been pushing for a continental government for years. And the plan continued to garner widespread support from the 40-odd delegations at the African Union summit that ended Saturday in Ethiopia’s capital.

Yet even countries facing disputed elections and conflict at home were loath to suggest they would be anything but a leader of the group – even given the lighthearted question of what U.S. state they most resemble. Their responses highlight pecking order positioning that could keep a federally unified continent from ever becoming a reality.

“Sudan is something like Washington, D.C.,” said Abdalmahmood Abdalhaleem, Sudan’s ambassador to the United Nations. “Sudan is always a leader. So we want to have the White House of Africa, the Pentagon of Africa.”

Not so fast, Sudan.

Bamanga Tukur, a native of Nigeria and chairman of the AU’s New Partnership for African Development, gave the honor to Ethiopia, the only African nation to have never been colonized.

“Ethiopia can be Washington,” he said. As for his own, oil-rich nation, Tukur said: “Nigeria can be Texas. Isn’t that nice?”

But, Asked if Addis Ababa – the headquarters of the African Union – might someday become the African Beltway, Ethiopian Prime Minister Meles Zenawi was similarly cagey.

“That’s in the future,” he said.

Any such future is far away. Everyone agrees that a unified African government could take decades, and would require many nations to make drastic improvements to governance, infrastructure, poverty and education.

But the stickiest issue is power, so most leaders advocate a slow approach that will let them cement their regional ties and position, analysts say. Others – notably, formerly isolationist Libyan leader Moammar Gadhafi and Senegalese President Abdoulaye Wade – have called for quicker integration, which might favor their more established governments.

“Obviously, power politics are taking place throughout the continent,” said Kenneth Mpyisi, director of the Institute for Security Studies, a think tank in Addis Ababa. “We have various regional powers in different parts of the continent. … They would obviously want to retain a certain amount of power in their sphere of influence.”

Still, presidential candidates are already rumored. Libya’s Gadhafi, a regional leader with a huge, oil-rich country and aspirations of global statesmanship, passionately argues for bringing Africa together immediately, and recently canvassed West Africa.

While no immediate union came from this week’s summit, Gadhafi did push successfully for a presidential committee that will lay out proposals at a Cairo summit in June.

“I am satisfied,” he told the Associated Press. “We have reached an agreement today.”

But when asked if he aspired to one day be president of the United States of Africa, Gadhafi simply laughed and walked away.

Others were more forthcoming.

Emmanuel Issoze-Ngondet, Gabon’s ambassador to the AU, had big dreams for his small, oil-rich coastal nation. Gabon’s foreign minister, after all, was selected as the AU’s new operating chief during the Addis Ababa meeting.

“If we finally reach the goal of the United States of Africa, Gabon will be like California,” he said. “Why not?”

When it was pointed out to him that, geographically, California would dwarf the West African nation, he smiled.

“Maybe like Los Angeles, then,” he said.