At first glance, the central premise of Rick Rowden’s book – that a neoliberal IMF has perpetrated a quiet genocide – may appear a bit over the top. We all know neoliberal economic policies favour the rich but surely it’s stretching things to slap a mass murder charge on the organisation?
Yet Rowden succeeds impressively in carefully guiding the reader to the point of agreeing (if you didn’t already) with the judgement of S N Muchiri, Kenya’s chief economist in the Ministry of Health, on IMF-dictated spending cuts: ‘The only difference from what happened in Rwanda is that here they don’t use pangas [machetes], they use policies.’
Rowden starts with an erudite and concise summary of the AIDS pandemic and key current health debates, all of which are now ‘hitting the wall’ of insufficient public health finance as a result of neoliberal economic policy. He then leads you through a very accessible tour of development economics from the 1940s to the Reagan and Thatcher-initiated neoliberalism of the 1980s. This is followed with a detailed, but essential, explanation of how each promise of neoliberal policy reform was ‘debunked by the actual outcomes … a significantly lower rate of progress on social indicators for the vast majority of low- and middle-income countries.’
The final third of the book draws the first two parts together to explain how the neoliberal paradigm drew the emphasis away from the community-level primary healthcare focus of the 1970s towards privatisation and a massive and devastating under-resourcing of public health, contributed to and maintained by IMF policy. In the past ten years, there has finally been a consensus on the need for a dramatic scale up of funding for health and a renewed focus on primary healthcare. However, even the inspiring AIDS activists who secured treatment for half of those in need have hit a wall of neoliberal and IMF policy. It is a wall that must be climbed in order to realise universal access to HIV and health services.
This book is a welcome and timely rallying call, especially to health activists and development NGOs, to confront and challenge the IMF and question ‘its specific definition of macro-economic stability’.
Battles for survival: climate crisis and far right rising ● Europe’s creeping fascism ● The far right in Britain ● New anti-racist movements ● The climate uprising ● Green New Deal debate ● Lowkey interview ● Anti-fascist music ● Book reviews ● and much more
And you choose how much to pay for your subscription...
The Conservative Party is in a process of ideological decline or even disintegration, argue James Butler and Richard Seymour.
Winning elections is not enough. To transform society we need to involve the people in policy making, argue Kerem Dikerdem and Annie Quick
Chloe Tomlinson lays out the battle lines for a more egalitarian, democratic and holistic education system. Essential reading ahead of The World Transformed education sessions
As a US-friendly no-deal Brexit inches closer, Bonnie Castillo of National Nurses United explains why US nurses have joined the fight against NHS privatisation. Recommended reading ahead of The World Transformed health sessions
Alex McDonald reviews new British film Bait, a socially engaged drama that uses lyricism to devastating effect.
Under the UK’s constitutional monarchy, we are subjects not citizens. Rewriting the constitution should be an urgent priority for a Labour government, argues Hilary Wainwright