penurious

　

WordNet

1. in a penurious manner; "they lived penuriously"
2. a disposition to be niggardly with money

PrepTutorEJDIC

1. 貧乏な;(…が)欠乏した《+『of』+『名』》 / けちな

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/10/12 20:17:58」(JST)

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For other uses, see Poverty (disambiguation).

An example of urban poverty in this slum in Jakarta, Indonesia

Poverty is general scarcity, dearth, or the state of one who lacks a certain amount of material possessions or money. It is a multifaceted concept, which includes social, economic, and political elements Absolute poverty or destitution refers to the deprivation of basic human needs, which commonly includes food, water, sanitation, clothing, shelter and health care. Relative poverty is defined contextually as economic inequality in the location or society in which people live.

After the industrial revolution, mass production in factories made production goods increasingly less expensive and more accessible. Of more importance is the modernization of agriculture, such as fertilizers, to provide enough yield to feed the population. Responding to basic needs can be restricted by constraints on government's ability to deliver services, such as corruption, tax avoidance, debt and loan conditionalities and by the brain drain of health care and educational professionals. Strategies of increasing income to make basic needs more affordable typically include welfare, economic freedoms and providing financial services.

Poverty reduction is a major goal and issue for many international organizations such as the United Nations and the World Bank. The World Bank estimated 1.29 billion people were living in absolute poverty in 2008. Of these, about 400 million people in absolute poverty lived in India and 173 million people in China. In terms of percentage of regional population sub-Saharan Africa at 47% had the highest incidence rate of absolute poverty in 2008. Between 1990 and 2010, about 663 million people moved above the absolute poverty level. Nevertheless, given the current economic model, built on GDP, it would take 100 years to bring the world's poorest up to the standard poverty line of $1.25 a day. Extreme poverty is a global challenge; it is observed in all parts of the world, including developed economies. UNICEF estimates half the world's children (or 1.1 billion) live in poverty. It has been argued by some academics that the neoliberal policies promoted by global financial institutions such as the IMF and the World Bank are actually exacerbating both inequality and poverty.

Etymology

The word poverty comes from old French poverté (Modern French: pauvreté), from Latin paupertās from pauper (poor).

The English word "poverty" via Anglo-Norman povert. There are several definitions of poverty depending on the context of the situation it is placed in, and the views of the person giving the definition.

Measuring poverty

See also: List of countries by percentage of population living in poverty and Poverty threshold

Definitions

Percentage of population living on less than $1.25 per day, per UN data from 2000-2006.

Percentage of population suffering from hunger, World Food Programme, 2008

Life expectancy, 2008.

The Human Development Index, 2006

The Gini coefficient, a measure of income inequality, 2014.

United Nations: Fundamentally, poverty is the inability of getting choices and opportunities, a violation of human dignity. It means lack of basic capacity to participate effectively in society. It means not having enough to feed and clothe a family, not having a school or clinic to go to, not having the land on which to grow one’s food or a job to earn one’s living, not having access to credit. It means insecurity, powerlessness and exclusion of individuals, households and communities. It means susceptibility to violence, and it often implies living in marginal or fragile environments, without access to clean water or sanitation.

World Bank: Poverty is pronounced deprivation in well-being, and comprises many dimensions. It includes low incomes and the inability to acquire the basic goods and services necessary for survival with dignity. Poverty also encompasses low levels of health and education, poor access to clean water and sanitation, inadequate physical security, lack of voice, and insufficient capacity and opportunity to better one’s life.

Copenhagen Declaration: Absolute poverty is a condition characterized by severe deprivation of basic human needs, including food, safe drinking water, sanitation facilities, health, shelter, education and information. It depends not only on income but also on access to social services. The term 'absolute poverty' is sometimes synonymously referred to as 'extreme poverty.'

Poverty is usually measured as either absolute or relative (the latter being actually an index of income inequality).

Absolute poverty

See also: Extreme poverty

Absolute poverty refers to a set standard which is consistent over time and between countries. First introduced in 1990, the dollar a day poverty line measured absolute poverty by the standards of the world’s poorest countries. The World Bank defined the new international poverty line as $1.25 a day for 2005 (equivalent to $1.00 a day in 1996 US prices). Absolute poverty, extreme poverty, or abject poverty is "a condition characterized by severe deprivation of basic human needs, including food, safe drinking water, sanitation facilities, health, shelter, education and information. It depends not only on income but also on access to services." The term 'absolute poverty', when used in this fashion, is usually synonymous with 'extreme poverty': Robert McNamara, the former President of the World Bank, described absolute or extreme poverty as, "...a condition so limited by malnutrition, illiteracy, disease, squalid surroundings, high infant mortality, and low life expectancy as to be beneath any reasonable definition of human decency". Australia is one of the world's wealthier nations. In his article published in Australian Policy Online, Robert Tanton notes that, "While this amount is appropriate for third world countries, in Australia, the amount required to meet these basic needs will naturally be much higher because prices of these basic necessities are higher."

However, as the amount of wealth required for survival is not the same in all places and time periods, particularly in highly developed countries where few people would fall below the World Bank's poverty lines, countries often develop their own National poverty lines.

An absolute poverty line was calculated in Australia for the Henderson poverty inquiry in 1973. It was $62.70 a week, which was the disposable income required to support the basic needs of a family of two adults and two dependent children at the time. This poverty line has been updated regularly by the Melbourne Institute according to increases in average incomes; for a single employed person it was $391.85 per week (including housing costs) in March 2009. In Australia the OECD poverty would equate to a "disposable income of less than $358 per week for a single adult (higher for larger households to take account of their greater costs). in 2015 Australia implemented the Individual Deprivation Measure which address gender disparities in poverty.

For a few years starting 1990, The World Bank anchored absolute poverty line as $1 per day. This was revised in 1993, and through 2005, absolute poverty was $1.08 a day for all countries on a purchasing power parity basis, after adjusting for inflation to the 1993 U.S. dollar. In 2005, after extensive studies of cost of living across the world, The World Bank raised the measure for global poverty line to reflect the observed higher cost of living. Now, the World Bank defines extreme poverty as living on less than US$1.25 (PPP) per day, and moderate poverty as less than $2 or $5 a day (but note that a person or family with access to subsistence resources, e.g. subsistence farmers, may have a low cash income without a correspondingly low standard of living – they are not living "on" their cash income but using it as a top up). It estimates that "in 2001, 1.1 billion people had consumption levels below $1 a day and 2.7 billion lived on less than $2 a day." A dollar a day, in nations that do not use the U.S. dollar as currency, does not translate to living a day on the equivalent amount of local currency as determined by the exchange rate. Rather, it is determined by the purchasing power parity rate, which would look at how much local currency is needed to buy the same things that a dollar could buy in the United States. Usually, this would translate to less local currency than the exchange rate in poorer countries as the United States is a relatively more expensive country.

The poverty line threshold of $1.25 per day, as set by The World Bank, is controversial. Each nation has its own threshold for absolute poverty line; in the United States, for example, the absolute poverty line was US$15.15 per day in 2010 (US$22,000 per year for a family of four), while in India it was US$1.0 per day and in China the absolute poverty line was US$0.55 per day, each on PPP basis in 2010. These different poverty lines make data comparison between each nation's official reports qualitatively difficult. Some scholars argue that The World Bank method sets the bar too high, others argue it is low. Still others suggest that poverty line misleads as it measures everyone below the poverty line the same, when in reality someone living on $1.20 per day is in a different state of poverty than someone living on $0.20 per day. In other words, the depth and intensity of poverty varies across the world and in any regional populations, and $1.25 per day poverty line and head counts are inadequate measures.

The share of the world's population living in absolute poverty fell from 43% in 1981 to 14% in 2011. The absolute number of people in poverty fell from 1.95 billion in 1981 to 1.01 billion in 2011. The economist Max Roser estimates that the number of people in poverty is therefore roughly the same as 200 years ago. This is the case since the world population was just little more than 1 billion in 1820 and the majority (84% to 94%) of the world population was living poverty. The proportion of the developing world's population living in extreme economic poverty fell from 28 percent in 1990 to 21 percent in 2001. Most of this improvement has occurred in East and South Asia. In East Asia the World Bank reported that "The poverty headcount rate at the $2-a-day level is estimated to have fallen to about 27 percent [in 2007], down from 29.5 percent in 2006 and 69 percent in 1990." In Sub-Saharan Africa extreme poverty went up from 41 percent in 1981 to 46 percent in 2001, which combined with growing population increased the number of people living in extreme poverty from 231 million to 318 million.

In the early 1990s some of the transition economies of Central and Eastern Europe and Central Asia experienced a sharp drop in income. The collapse of the Soviet Union resulted in large declines in GDP per capita, of about 30 to 35% between 1990 and the trough year of 1998 (when it was at its minimum). As a result, poverty rates also increased although in subsequent years as per capita incomes recovered the poverty rate dropped from 31.4% of the population to 19.6%.

World Bank data shows that the percentage of the population living in households with consumption or income per person below the poverty line has decreased in each region of the world since 1990:

Region	$1 per day				$1.25 per day
	1990	2002	2004		1981	2008
East Asia and Pacific	15.40%	12.33%	9.07%		77.2%	14.3%
Europe and Central Asia	3.60%	1.28%	0.95%		1.9%	0.5%
Latin America and the Caribbean	9.62%	9.08%	8.64%		11.9%	6.5%
Middle East and North Africa	2.08%	1.69%	1.47%		9.6%	2.7%
South Asia	35.04%	33.44%	30.84%		61.1%	36%
Sub-Saharan Africa	46.07%	42.63%	41.09%		51.5%	47.5%
World					52.2%	22.4%

Life expectancy has been increasing and converging for most of the world. Sub-Saharan Africa has recently seen a decline, partly related to the AIDS epidemic. Graph shows the years 1950–2005.

According to Chen and Ravallion, about 1.76 billion people in developing world lived above $1.25 per day and 1.9 billion people lived below $1.25 per day in 1981. The world's population increased over the next 25 years. In 2005, about 4.09 billion people in developing world lived above $1.25 per day and 1.4 billion people lived below $1.25 per day (both 1981 and 2005 data are on inflation adjusted basis). Some scholars caution that these trends are subject to various assumptions, and not certain. Additionally, they note that the poverty reduction is not uniform across the world; economically prospering countries such as China, India and Brazil have made more progress in absolute poverty reduction than countries in other regions of the world.

The absolute poverty measure trends noted above are supported by human development indicators, which have also been improving. Life expectancy has greatly increased in the developing world since World War II and is starting to close the gap to the developed world. Child mortality has decreased in every developing region of the world. The proportion of the world's population living in countries where per-capita food supplies are less than 2,200 calories (9,200 kilojoules) per day decreased from 56% in the mid-1960s to below 10% by the 1990s. Similar trends can be observed for literacy, access to clean water and electricity and basic consumer items.

Relative poverty

This graph shows the proportion of world population in extreme poverty 1981–2008 according to the World Bank.

Relative poverty views poverty as socially defined and dependent on social context, hence relative poverty is a measure of income inequality. Usually, relative poverty is measured as the percentage of population with income less than some fixed proportion of median income. There are several other different income inequality metrics, for example the Gini coefficient or the Theil Index.

Relative poverty is the "most useful measure for ascertaining poverty rates in wealthy developed nations." Relative poverty measure is used by the United Nations Development Program (UNDP), the United Nations Children’s Fund (UNICEF), the Organisation for Economic Co-operation and Development (OECD) and Canadian poverty researchers. In the European Union, the "relative poverty measure is the most prominent and most–quoted of the EU social inclusion indicators."

"Relative poverty reflects better the cost of social inclusion and equality of opportunity in a specific time and space."

"Once economic development has progressed beyond a certain minimum level, the rub of the poverty problem – from the point of view of both the poor individual and of the societies in which they live – is not so much the effects of poverty in any absolute form but the effects of the contrast, daily perceived, between the lives of the poor and the lives of those around them. For practical purposes, the problem of poverty in the industrialized nations today is a problem of relative poverty (page 9)."

In 1776 Adam Smith in the Wealth of Nations argued that poverty is the inability to afford, "not only the commodities which are indispensably necessary for the support of life, but whatever the custom of the country renders it indecent for creditable people, even of the lowest order, to be without."

In 1958 J. K. Galbraith argued that, "People are poverty stricken when their income, even if adequate for survival, falls markedly behind that of their community."

In 1964 in a joint committee economic President's report in the United States, Republicans endorsed the concept of relative poverty. ”No objective definition of poverty exists... The definition varies from place to place and time to time. In America as our standard of living rises, so does our idea of what is substandard."

Children of the Depression-era migrant workers, Arizona, 1937

In 1965 Rose Friedman argued for the use of relative poverty claiming that the definition of poverty changes with general living standards. Those labelled as poor in 1995, would have had "a higher standard of living than many labelled not poor" in 1965.

In 1979, British sociologist, Peter Townsend published his famous definition, "individuals [...] can be said to be in poverty when they lack the resources to obtain the types of diet, participate in the activities and have the living conditions and amenities which are customary, or are at least widely encouraged or approved, in the societies to which they belong (page 31)."

Brian Nolan and Christopher T. Whelan of the Economic and Social Research Institute (ESRI) in Ireland explained that, "[P]overty has to be seen in terms of the standard of living of the society in question."

Relative poverty measures are used as official poverty rates by the European Union, UNICEF and the OEDC. The main poverty line used in the OECD and the European Union is based on "economic distance", a level of income set at 60% of the median household income.

Other aspects

Economic aspects of poverty focus on material needs, typically including the necessities of daily living, such as food, clothing, shelter, or safe drinking water. Poverty in this sense may be understood as a condition in which a person or community is lacking in the basic needs for a minimum standard of well-being and life, particularly as a result of a persistent lack of income.

Analysis of social aspects of poverty links conditions of scarcity to aspects of the distribution of resources and power in a society and recognizes that poverty may be a function of the diminished "capability" of people to live the kinds of lives they value. The social aspects of poverty may include lack of access to information, education, health care, or political power.

Poverty levels are snapshot picture in time that omits the transitional dynamics between levels. Mobility statistics supply additional information about the fraction who leave the poverty level. For example, one study finds that in a sixteen-year period (1975 to 1991 in the U.S.) only 5% of those in the lower fifth of the income level were still in that level, while 95% transitioned to a higher income category. Poverty levels can remain the same while those who rise out of poverty are replaced by others. The transient poor and chronic poor differ in each society. In a nine-year period ending in 2005 for the U.S., 50% of the poorest quintile transitioned to a higher quintile.

Poverty may also be understood as an aspect of unequal social status and inequitable social relationships, experienced as social exclusion, dependency, and diminished capacity to participate, or to develop meaningful connections with other people in society. Such social exclusion can be minimized through strengthened connections with the mainstream, such as through the provision of relational care to those who are experiencing poverty.

An early morning outside the Opera Tavern in Stockholm, with a gang of beggars waiting for delivery of the scraps from the previous day. Sweden, 1868.

The World Bank's "Voices of the Poor," based on research with over 20,000 poor people in 23 countries, identifies a range of factors which poor people identify as part of poverty. These include:

• Abuse by those in power
• Dis-empowering institutions
• Excluded locations
• Gender relationships
• Lack of security
• Limited capabilities
• Physical limitations
• Precarious livelihoods
• Problems in social relationships
• Weak community organizations

David Moore, in his book The World Bank, argues that some analysis of poverty reflect pejorative, sometimes racial, stereotypes of impoverished people as powerless victims and passive recipients of aid programs.

Ultra-poverty, a term apparently coined by Michael Lipton, connotes being amongst poorest of the poor in low-income countries. Lipton defined ultra-poverty as receiving less than 80 percent of minimum caloric intake whilst spending more than 80% of income on food. Alternatively a 2007 report issued by International Food Policy Research Institute defined ultra-poverty as living on less than 54 cents per day.

Asset poverty is an economic and social condition that is more persistent and prevalent than income poverty. It can be defined as a household’s inability to access wealth resources that are sufficient enough to provide for basic needs for a period of three months. Basic needs refer to the minimum standards for consumption and acceptable needs.[1] Wealth resources consist of home ownership, other real estate (second home, rented properties, etc.), net value of farm and business assets, stocks, checking and savings accounts, and other savings (money in savings bonds, life insurance policy cash values, etc.).[2] Wealth is measured in three forms: net worth, net worth minus home equity, and liquid assets. Net worth consists of all the aspects mentioned above. Net worth minus home equity is the same except it does not include home ownership in asset calculations. Liquid assets are resources that are readily available such as cash, checking and savings accounts, stocks, and other sources of savings.[2] There are two types of assets: tangible and intangible. Tangible assets most closely resemble liquid assets in that they include stocks, bonds, property, natural resources, and hard assets not in the form of real estate. Intangible assets are simply the access to credit, social capital, cultural capital, political capital, and human capital.[3]

Characteristics

The effects of poverty may also be causes, as listed above, thus creating a "poverty cycle" operating across multiple levels, individual, local, national and global.

Health

Main articles: Diseases of poverty and Disability and poverty

A Somali boy receiving treatment for malnourishment at a health facility.

One third of deaths – some 18 million people a year or 50,000 per day – are due to poverty-related causes: in total 270 million people. People of color, women and children, are over represented among the global poor and these effects of severe poverty. Those living in poverty suffer disproportionately from hunger or even starvation and disease. Those living in poverty suffer lower life expectancy. According to the World Health Organization, hunger and malnutrition are the single gravest threats to the world's public health and malnutrition is by far the biggest contributor to child mortality, present in half of all cases.

Almost 90% of maternal deaths during childbirth occur in Asia and sub-Saharan Africa, compared to less than 1% in the developed world. Those who live in poverty have also been shown to have a far greater likelihood of having or incurring a disability within their lifetime. Infectious diseases such as malaria and tuberculosis can perpetuate poverty by diverting health and economic resources from investment and productivity; malaria decreases GDP growth by up to 1.3% in some developing nations and AIDS decreases African growth by 0.3–1.5% annually.

A pair of studies of the influence of poverty on the ability to reason about complicated issues requiring an immediate solution found that poverty directly impedes cognitive function. Financial worries appear to put a severe burden on one's mental resources so that they are no longer fully available for solving complicated problems. The reduced capability for problem solving can lead to suboptimal decisions and further perpetuate poverty.

Infectious diseases continue to blight the lives of the poor across the world. An estimated 40 million people are living with HIV/AIDS, with 3 million deaths in 2004. Every year there are 350–500 million cases of malaria, with 1 million fatalities: Africa accounts for 90 percent of malarial deaths and African children account for over 80 percent of malaria victims worldwide.

Hunger

See also: Malnutrition

A poor woman in India.

People who earn their living by collecting and sorting garbage and selling them for recycling, Payatas, Manila, Philippines.

Rises in the costs of living making poor people less able to afford items. Poor people spend a greater portion of their budgets on food than richer people. As a result, poor households and those near the poverty threshold can be particularly vulnerable to increases in food prices. For example, in late 2007 increases in the price of grains led to food riots in some countries. The World Bank warned that 100 million people were at risk of sinking deeper into poverty. Threats to the supply of food may also be caused by drought and the water crisis. Intensive farming often leads to a vicious cycle of exhaustion of soil fertility and decline of agricultural yields. Approximately 40% of the world's agricultural land is seriously degraded. In Africa, if current trends of soil degradation continue, the continent might be able to feed just 25% of its population by 2025, according to United Nations University's Ghana-based Institute for Natural Resources in Africa. Every year nearly 11 million children living in poverty die before their fifth birthday. 1.02 billion people go to bed hungry every night.

According to the Global Hunger Index, Sub-Saharan Africa had the highest child malnutrition rate of the world's regions over the 2001-2006 period.

Education

See also: Impact of health on intelligence, Social determinants of health in poverty § Education and Disability and poverty § Education

In 2000, almost a billion people were unable to read a book or sign their names.

Research has found that there is a high risk of educational underachievement for children who are from low-income housing circumstances. This is often a process that begins in primary school for some less fortunate children. Instruction in the US educational system, as well as in most other countries, tends to be geared towards those students who come from more advantaged backgrounds. As a result, children in poverty are at a higher risk than advantaged children for retention in their grade, special deleterious placements during the school's hours and even not completing their high school education. There are indeed many explanations for why students tend to drop out of school. One is the conditions of which they attend school. Schools in poverty-stricken areas have conditions that hinder children from learning in a safe environment. Researchers have developed a name for areas like this: an urban war zone is a poor, crime-laden district in which deteriorated, violent, even war-like conditions and underfunded, largely ineffective schools promote inferior academic performance, including irregular attendance and disruptive or non-compliant classroom behavior.

For children with low resources, the risk factors are similar to others such as juvenile delinquency rates, higher levels of teenage pregnancy, and the economic dependency upon their low income parent or parents. Families and society who submit low levels of investment in the education and development of less fortunate children end up with less favorable results for the children who see a life of parental employment reduction and low wages. Higher rates of early childbearing with all the connected risks to family, health and well-being are major important issues to address since education from preschool to high school are both identifiably meaningful in a life.

Poverty often drastically affects children's success in school. A child's "home activities, preferences, mannerisms" must align with the world and in the cases that they do not these students are at a disadvantage in the school and most importantly the classroom. Therefore, it is safe to state that children who live at or below the poverty level will have far less success educationally than children who live above the poverty line. Poor children have a great deal less healthcare and this ultimately results in many absences from the academic year. Additionally, poor children are much more likely to suffer from hunger, fatigue, irritability, headaches, ear infections, flu, and colds. These illnesses could potentially restrict a child or student's focus and concentration.

For a child to grow up emotionally healthy, the children under three need "A strong, reliable primary caregiver who provides consistent and unconditional love, guidance, and support. Safe, predictable, stable environments. Ten to 20 hours each week of harmonious, reciprocal interactions. This process, known as attunement, is most crucial during the first 6–24 months of infants' lives and helps them develop a wider range of healthy emotions, including gratitude, forgiveness, and empathy. Enrichment through personalized, increasingly complex activities".

Harmful spending habits mean that the poor typically spend about 2 percent of their income educating their children but larger percentages on alcohol and tobacco (For example, 6 percent in Indonesia and 8 percent in Mexico).

Shelter

Street child in Bangladesh.

See also: Slums, Street children and Orphanages

Poverty increases the risk of homelessness. Slum-dwellers, who make up a third of the world's urban population, live in a poverty no better, if not worse, than rural people, who are the traditional focus of the poverty in the developing world, according to a report by the United Nations.

There are over 100 million street children worldwide. Most of the children living in institutions around the world have a surviving parent or close relative, and they most commonly entered orphanages because of poverty. Experts and child advocates maintain that orphanages are expensive and often harm children's development by separating them from their families. It is speculated that, flush with money, orphanages are increasing and push for children to join even though demographic data show that even the poorest extended families usually take in children whose parents have died.

Utilities

The urban poor buy water from water vendors for, on average, about five to 16 times the metered price. The poorest fifth receive 0.1% of the world’s lighting but pay a fifth of total spending on light.

Water utility subsidies tend to subsidize water consumption by those connected to the supply grid, which is typically skewed towards the richer and urban segment of the population and those outside informal housing. As a result of heavy consumption subsidies, the price of water decreases to the extent that only 30%, on average, of the supplying costs in developing countries is covered. This results in a lack of incentive to maintain delivery systems, leading to losses from leaks annually that are enough for 200 million people. This also leads to a lack of incentive to invest in expanding the network, resulting in much of the poor population being unconnected to the network. Instead, the poor buy water from water vendors for, on average, about five to 16 times the metered price. However, subsidies for laying new connections to the network rather than for consumption have shown more promise for the poor.

Similarly, the poorest fifth receive 0.1% of the world’s lighting but pay a fifth of total spending on light, accounting for 25 to 30 percent of their income. Indoor air pollution from burning fuels kills 2 million, with almost half the deaths from pneumonia in children under 5. Fuel from Bamboo burns more cleanly and also matures much faster than wood, thus also reducing deforestation. Additionally, using solar panels is promoted as being cheaper over the products' lifetime even if upfront costs are higher.

Violence

See also: Slavery and Human trafficking

According to experts, many women become victims of trafficking, the most common form of which is prostitution, as a means of survival and economic desperation. Deterioration of living conditions can often compel children to abandon school to contribute to the family income, putting them at risk of being exploited. For example, in Zimbabwe, a number of girls are turning to sex in return for food to survive because of the increasing poverty.

In one survey, 67% of children from disadvantaged inner cities said they had witnessed a serious assault, and 33% reported witnessing a homicide. 51% of fifth graders from New Orleans (median income for a household: $27,133) have been found to be victims of violence, compared to 32% in Washington, DC (mean income for a household: $40,127).

Poverty reduction

Main article: Poverty reduction

See also: Aid and Development aid

Various poverty reduction strategies are broadly categorized here based on whether they make more of the basic human needs available or whether they increase the disposable income needed to purchase those needs. Some strategies such as building roads can both bring access to various basic needs, such as fertilizer or healthcare from urban areas, as well as increase incomes, by bringing better access to urban markets.

Increasing the supply of basic needs

Food and other goods

A large, modern fertilizer spreader

Agricultural technologies such as nitrogen fertilizers, pesticides, new seed varieties and new irrigation methods have dramatically reduced food shortages in modern times by boosting yields past previous constraints.

Before the Industrial Revolution, poverty had been mostly accepted as inevitable as economies produced little, making wealth scarce. Geoffrey Parker wrote that "In Antwerp and Lyon, two of the largest cities in western Europe, by 1600 three-quarters of the total population were too poor to pay taxes, and therefore likely to need relief in times of crisis." The initial industrial revolution led to high economic growth and eliminated mass absolute poverty in what is now considered the developed world. Mass production of goods in places such as rapidly industrializing China has made what were once considered luxuries, such as vehicles and computers, inexpensive and thus accessible to many who were otherwise too poor to afford them.

Even with new products, such as better seeds, or greater volumes of them, such as industrial production, the poor still require access to these products. Improving road and transportation infrastructure helps solve this major bottleneck. In Africa, it costs more to move fertilizer from an African seaport 60 miles inland than to ship it from the United States to Africa because of sparse, low quality roads, leading to fertilizer costs two to six times the world average. Microfranchising models such as door to door distributors who earn commission-based income are used to sell basic needs to remote areas for below market prices.

Health care and education

Hardwood surgical tables are commonplace in rural Nigerian clinics.

See also: Health care system and Primary education

Nations do not necessarily need wealth to gain health. For example, Sri Lanka had a maternal mortality rate of 2% in the 1930s, higher than any nation today. It reduced it to 0.5–0.6% in the 1950s and to .06% today while spending less each year on maternal health because it learned what worked and what did not. Cheap water filters and promoting hand washing are some of the most cost effective health interventions and can cut deaths from diarrhea and pneumonia. Knowledge on the cost effectiveness of healthcare interventions can be elusive and educational measures have been made to disseminate what works, such as the Copenhagen Consensus.

Strategies to provide education cost effectively include deworming children, which costs about 50 cents per child per year and reduces non-attendance from anemia, illness and malnutrition, while being only a twenty-fifth as expensive as increasing school attendance by constructing schools. Schoolgirl absenteeism could be cut in half by simply providing free sanitary towels.

Desirable actions such as enrolling children in school or receiving vaccinations can be encouraged by a form of aid known as conditional cash transfers. In Mexico, for example, dropout rates of 16- to 19-year-olds in rural area dropped by 20% and children gained half an inch in height. Initial fears that the program would encourage families to stay at home rather than work to collect benefits have proven to be unfounded. Instead, there is less excuse for neglectful behavior as, for example, children stopped begging on the streets instead of going to school because it could result in suspension from the program.

Removing constraints on government services

See also: Political corruption, Tax havens, Transfer mispricing, Developing countries' debt and Conditionality

Local citizens from the Jana bi Village wait their turn to gather goods from the Sons of Iraq (Abna al-Iraq) in a military operation conducted in Yusufiyah, Iraq.

Government revenue can be diverted away from basic services by corruption. Funds from aid and natural resources are often sent by government individuals for money laundering to overseas banks which insist on bank secrecy, instead of spending on the poor. A Global Witness report asked for more action from Western banks as they have proved capable of stanching the flow of funds linked to terrorism.

Illicit capital flight from the developing world is estimated at ten times the size of aid it receives and twice the debt service it pays. About 60 per cent of illicit capital flight from Africa is from transfer mispricing, where a subsidiary in a developing nation sells to another subsidiary or shell company in a tax haven at an artificially low price to pay less tax. An African Union report estimates that about 30% of sub-Saharan Africa's GDP has been moved to tax havens. Solutions include corporate “country-by-country reporting” where corporations disclose activities in each country and thereby prohibit the use of tax havens where no effective economic activity occurs.

Developing countries' debt service to banks and governments from richer countries can constrain government spending on the poor. For example, Zambia spent 40% of its total budget to repay foreign debt, and only 7% for basic state services in 1997. One of the proposed ways to help poor countries has been debt relief. Zambia began offering services, such as free health care even while overwhelming the health care infrastructure, because of savings that resulted from a 2005 round of debt relief.

The World Bank and the International Monetary Fund, as primary holders of developing countries' debt, attach structural adjustment conditionalities in return for loans which generally include the elimination of state subsidies and the privatization of state services. For example, the World Bank presses poor nations to eliminate subsidies for fertilizer even while many farmers cannot afford them at market prices. In Malawi, almost five million of its 13 million people used to need emergency food aid but after the government changed policy and subsidies for fertilizer and seed were introduced, farmers produced record-breaking corn harvests in 2006 and 2007 as Malawi became a major food exporter. A major proportion of aid from donor nations is tied, mandating that a receiving nation spend on products and expertise originating only from the donor country. US law requires food aid be spent on buying food at home, instead of where the hungry live, and, as a result, half of what is spent is used on transport.

Distressed securities funds, also known as vulture funds, buy up the debt of poor nations cheaply and then sue countries for the full value of the debt plus interest which can be ten or 100 times what they paid. They may pursue any companies which do business with their target country to force them to pay to the fund instead. Considerable resources are diverted on costly court cases. For example, a court in Jersey ordered Congo to pay an American speculator $100 million in 2010. Now, the UK, Isle of Man and Jersey have banned such payments.

A family planning placard in Ethiopia. It shows some negative effects of having too many children.

Reversing brain drain

Main articles: Reverse brain drain and Human capital flight

The loss of basic needs providers emigrating from impoverished countries has a damaging effect. As of 2004, there were more Ethiopia-trained doctors living in Chicago than in Ethiopia. Proposals to mitigate the problem by the World Health Organization include compulsory government service for graduates of public medical and nursing schools and creating career-advancing programs to retain personnel.

Controlling overpopulation

Some argue that overpopulation and lack of access to birth control leads to population increase to exceed food production and other resources. Better education for both men and women, and more control of their lives, reduces population growth due to family planning. According to UNFPA-United Nations Population Fund, by giving better education to men and women, they can earn money for their lives and can help them to strengthen economic security.

Increasing personal income

The following are strategies used or proposed to increase personal incomes among the poor. Raising farm incomes is described as the core of the antipoverty effort as three quarters of the poor today are farmers. Estimates show that growth in the agricultural productivity of small farmers is, on average, at least twice as effective in benefiting the poorest half of a country’s population as growth generated in nonagricultural sectors.

Income grants

Afghan girl begging in Kabul.

Main articles: Guaranteed minimum income, Social security and Welfare

A guaranteed minimum income ensures that every citizen will be able to purchase a desired level of basic needs. A basic income (or negative income tax) is a system of social security, that periodically provides each citizen, rich or poor, with a sum of money that is sufficient to live on. Studies of large cash-transfer programs in Ethiopia, Kenya, and Malawi show that the programs can be effective in increasing consumption, schooling, and nutrition, whether they are tied to such conditions or not. Proponents argue that a basic income is more economically efficient than a minimum wage and unemployment benefits, as the minimum wage effectively imposes a high marginal tax on employers, causing losses in efficiency. In 1968, Paul Samuelson, John Kenneth Galbraith and another 1,200 economists signed a document calling for the US Congress to introduce a system of income guarantees. Winners of the Nobel Prize in Economics, with often diverse political convictions, who support a basic income include Herbert A. Simon, Friedrich Hayek, Robert Solow, Milton Friedman, Jan Tinbergen, James Tobin and James Meade.

Income grants are argued to be vastly more efficient in extending basic needs to the poor than subsidizing supplies. Its effectiveness in poverty alleviation is diluted by the non-poor who enjoy the same subsidized prices. With cars and other appliances, the wealthiest 20% of Egypt uses about 93% of the country's fuel subsidies. In some countries, fuel subsidies are a larger part of the budget than health and education. A 2008 study concluded that the money spent on in-kind transfers in India in a year could lift all India’s poor out of poverty for that year if transferred directly. The primary obstacle argued against direct cash transfers is the impractically for poor countries of such large and direct transfers. In practice, payments determined by complex iris scanning are used by war-torn Congo and Afghanistan, while India is phasing out its fuel subsidies in favor of direct transfers. Additionally, in aid models, the famine relief model increasingly used by aid groups calls for giving cash or cash vouchers to the hungry to pay local farmers instead of buying food from donor countries, often required by law, as it wastes money on transport costs.

Economic freedoms

See also: Economic freedom and Red tape

In Canada, it takes two days, two registration procedures, and $280 to open a business, while an entrepreneur in Bolivia must pay $2,696 in fees, wait 82 business days, and go through 20 procedures to do the same. Such costly barriers favor big firms at the expense of small enterprises, where most jobs are created. Often, businesses have to bribe government officials even for routine activities, which is, in effect, a tax on business. Noted reductions in poverty in recent decades has occurred in China and India mostly as a result of the abandonment of collective farming in China and the ending of the central planning model known as the License Raj in India.

The World Bank concludes that governments and feudal elites extending to the poor the right to the land that they live and use is 'the key to reducing poverty' citing that land rights greatly increase poor people's wealth, in some cases doubling it. Although approaches varied, the World Bank said the key issues were security of tenure and ensuring land transactions costs were low.

Greater access to markets brings more income to the poor. Road infrastructure has a direct impact on poverty. Additionally, migration from poorer countries resulted in $328 billion sent from richer to poorer countries in 2010, more than double the $120 billion in official aid flows from OECD members. In 2011, India got $52 billion from its diaspora, more than it took in foreign direct investment.

Financial services

Information and communication technologies for development help to fight poverty.

See also: Microfinance and Microcredit

Microloans, made famous by the Grameen Bank, is where small amounts of money are loaned to farmers or villages, mostly women, who can then obtain physical capital to increase their economic rewards. However, microlending has been criticized for making hyperprofits off the poor even from its founder, Muhammad Yunus, and in India, which has seen a growing wave of defaults and suicides. Indian political activist Arundhati Roy asserts that some 250,000 debt-ridden farmers have been driven to suicide.

Those in poverty place overwhelming importance on having a safe place to save money, much more so than receiving loans. Additionally, a large part of microfinance loans are spent not on investments but on products that would usually be paid by a checking or savings account. Microsavings are designs to make savings products available for the poor, who make small deposits. Mobile banking utilizes the wide availability of mobile phones to address the problem of the heavy regulation and costly maintenance of saving accounts. This usually involves a network of agents of mostly shopkeepers, instead of bank branches, would take deposits in cash and translate these onto a virtual account on customers' phones. Cash transfers can be done between phones and issued back in cash with a small commission, making remittances safer.

A beggar in the streets of Beijing, China in 2005. Disability discrimination is a major cause of extreme poverty.

Cultural factors to productivity

Cultural factors, such as discrimination of various kinds, can negatively affect productivity such as age discrimination, stereotyping, discrimination against people with physical disability, gender discrimination, racial discrimination, and caste discrimination. Max Weber and some schools of modernization theory suggest that cultural values could affect economic success. However, researchers have gathered evidence that suggest that values are not as deeply ingrained and that changing economic opportunities explain most of the movement into and out of poverty, as opposed to shifts in values.

Wealth concentration

See also: Economic inequality and Wealth concentration

Oxfam has called for an international movement to end extreme wealth concentration as a significant step towards ameliorating global poverty. The group stated that the $240 billion added to the fortunes of the world's richest billionaires in 2012 was enough to end extreme poverty four times over. Oxfam argues that the "concentration of resources in the hands of the top 1% depresses economic activity and makes life harder for everyone else - particularly those at the bottom of the economic ladder."

José Antonio Ocampo, professor at Columbia University and former finance minister of Colombia, and Magdalena Sepúlveda Carmona, former UN Special Rapporteur on Extreme Poverty and Human Rights, argue that global tax reform is integral to human development and fighting poverty, as corporate tax avoidance has disproportionately impacted those mired in poverty, noting that "the human impact is devastatingly real. When profits are shifted out, the tax revenues from those profits that could be available to fund healthcare, schools, water sanitation and other public goods vanish from the ledger, leaving women and men, boys and girls without pathways to a better future."

Climate change

See also: Effects of global warming

A report published in 2013 by the World Bank, with support from the Climate & Development Knowledge Network, found that climate change was likely to hinder future attempts to reduce poverty. The report presented the likely impacts of present day, 2 °C and 4 °C warming on agricultural production, water resources, coastal ecosystems and cities across Sub-Saharan Africa, South Asia and South East Asia. The impacts of a temperature rise of 2 °C included: regular food shortages in Sub-Saharan Africa; shifting rain patterns in South Asia leaving some parts under water and others without enough water for power generation, irrigation or drinking; degradation and loss of reefs in South East Asia, resulting in reduced fish stocks; and coastal communities and cities more vulnerable to increasingly violent storms.

Voluntary

See also: Simple living and Evangelical counsels

St. Francis of Assisi renounces his worldly goods in a painting attributed to Giotto di Bondone.

Among some individuals, poverty is considered a necessary or desirable condition, which must be embraced to reach certain spiritual, moral, or intellectual states. Poverty is often understood to be an essential element of renunciation in religions such as Buddhism (only for monks, not for lay persons) and Jainism, whilst in Roman Catholicism it is one of the evangelical counsels. The main aim of giving up things of the materialistic world is to withdraw oneself from sensual pleasures (as they are fake and temporary in some religions). This self-invited poverty (or giving up pleasures) is different from the one caused by economic imbalance.

Benedict XVI distinguished “poverty chosen” (the poverty of spirit proposed by Jesus), and “poverty to be fought” (unjust and imposed poverty). He considersed that the moderation implied in the former favors solidarity, and is a necessary condition so as to fight effectively to eradicate the abuse of the latter.

As it was indicated above the reduction of poverty results from religion, but also can result from sustainable development or solidarity.

Notes

See also

• Accumulation by dispossession
• Bottom of the pyramid
• Causes of poverty
• Climate change and poverty
• Cycle of poverty
• Depression (economics)
• Development state
• Distribution of wealth
• Economic development
• Economic migrant
• Economic Vulnerability Index

• Feminization of poverty
• Financial exclusion
• Food security
• Food vs fuel
• Fuel poverty
• Full employment
• Green Revolution
• Growth elasticity of poverty
• Hunger
• Immiserizing growth
• Income deficit

• Income disparity
• International Development
• International inequality
• Juvenilization of poverty
• Literacy
• Migrant worker
• Multidimensional Poverty Index
• Neo-imperialism
• Neoliberalism
• Poor Law
• Poverty trap

• Precaria (country)
• Rural ghetto
• Shanty town
• Social exclusion
• Structural adjustment
• Subsidized housing
• Theories of poverty
• Underclass
• Working poor
• 2007–2008 world food price crisis

Nations

• Countries by GDP (PPP)
• Countries by poverty rate
• Least developed country
• Poverty by country
• Category:Poverty by country

Theology

• Charity (virtue)
• Sadaqah
• Tzedakah
• Zakat

Organizations and campaigns

• Abahlali baseMjondolo – South African Shack dwellers' organisation
• Appropedia
• Brooks World Poverty Institute
• Catholic Charities USA
• Center for Global Development
• Compassion International
• Eurodad
• Free the Children
• Global Call to Action Against Poverty (GCAP)
• Grameen Bank A micro lending bank for the poor.
• Habitat for Humanity International
• Homeless International
• IFAD Vietnam
• 17 October: UN International Day for the Eradication of Poverty (White Band Day 4)
• International Food Policy Research Institute

• International Fund for Agricultural Development
• International Water Management Institute
• Islamic Development Bank
• Islamic Relief
• The Make Poverty History campaign
• Microgiving (Direct charitable giving)
• ONE campaign
• Organization for Economic Cooperation and Development
• United Nations Millennium Campaign
• U.S. Agency for International Development
• World Bank
• World Congress of Muslim Philanthropists
• World Food Day
• World Food Program
• World Cease fire day
• World Vision

In documentary photography and film

Authors with significant work

• Diane Arbus
• Richard Avedon
• Jim Goldberg
• Dorothea Lange
• Manuel Rivera-Ortiz
• John Pilger
• Sebastião Salgado
• Tom Stone

Significant titles

• Born into Brothels (2004)
• Harlan County, USA (1976)
• Streetwise (1984)

References

Further reading

• Adato, Michelle & Meinzen-Dick, Ruth, eds. Agricultural Research, Livelihoods, and Poverty: Studies of Economic and Social Impacts in Six Countries (2007), Johns Hopkins University Press, [http://www.ifpri.org/publication/agricultural-research-livelihoods-and-poverty International Food Policy Research Institute
• Anzia, Lys "Educate a Woman, You Educate a Nation" – South Africa Aims to Improve its Education for Girls WNN – Women News Network. 28 August 2007.
• Atkinson, Anthony. Poverty in Europe 1998
• Babb, Sarah (2009). Behind the Development Banks: Washington Politics, World Poverty, and the Wealth of Nations. University of Chicago Press. ISBN 978-0-226-03365-5. 
• Banerjee, Abhijit & Esther Duflo, Poor Economics: A Radical Rethinking of the Way to Fight Global Poverty (New York: PublicAffairs, 2011)
• Bergmann, Barbara. "Deciding Who's Poor", Dollars & Sense, March/April 2000
• Betson, David M. & Warlick, Jennifer L. "Alternative Historical Trends in Poverty." American Economic Review 88:348–51. 1998. in JSTOR
• Brady, David "Rethinking the Sociological Measurement of Poverty" Social Forces 81#3 2003, pp. 715–751 Online in Project Muse. Abstract: Reviews shortcomings of the official U.S. measure; examines several theoretical and methodological advances in poverty measurement. Argues that ideal measures of poverty should: (1) measure comparative historical variation effectively; (2) be relative rather than absolute; (3) conceptualize poverty as social exclusion; (4) assess the impact of taxes, transfers, and state benefits; and (5) integrate the depth of poverty and the inequality among the poor. Next, this article evaluates sociological studies published since 1990 for their consideration of these criteria. This article advocates for three alternative poverty indices: the interval measure, the ordinal measure, and the sum of ordinals measure. Finally, using the Luxembourg Income Study, it examines the empirical patterns with these three measures, across advanced capitalist democracies from 1967 to 1997. Estimates of these poverty indices are made available.
• Buhmann, Brigitte, et al. 1988. "Equivalence Scales, Well-Being, Inequality, and Poverty: Sensitivity Estimates Across Ten Countries Using the Luxembourg Income Study (LIS) Database." Review of Income and Wealth 34:115–42.
• Cox, W. Michael & Alm, Richard. Myths of Rich and Poor 1999
• Danziger, Sheldon H. & Weinberg, Daniel H. "The Historical Record: Trends in Family Income, Inequality, and Poverty." Pp. 18–50 in Confronting Poverty: Prescriptions for Change, edited by Sheldon H. Danziger, Gary D. Sandefur, and Daniel. H. Weinberg. Russell Sage Foundation. 1994.
• Firebaugh, Glenn. "Empirics of World Income Inequality." American Journal of Sociology (2000) 104:1597–1630. in JSTOR
• Frank, Ellen, Dr. Dollar: How Is Poverty Defined in Government Statistics? Dollars & Sense, January/February 2006
• Gans, Herbert J., "The Uses of Poverty: The Poor Pay All", Social Policy, July/August 1971: pp. 20–24
• George, Abraham, Wharton Business School Publications – Why the Fight Against Poverty is Failing: a contrarian view
• Gordon, David M. Theories of Poverty and Underemployment: Orthodox, Radical, and Dual Labor Market Perspectives. 1972.
• Haveman, Robert H. Poverty Policy and Poverty Research. Madison: University of Wisconsin Press 1987 ISBN 0-299-11150-4
• Haymes, Stephen, Maria Vidal de Haymes and Reuben Miller (eds). The Routledge Handbook of Poverty in the United States. Routledge, 2015. ISBN 0415673445.
• Iceland, John Poverty in America: a handbook University of California Press, 2003
• McEwan, Joanne, and Pamela Sharpe, eds. Accommodating Poverty: The Housing and Living Arrangements of the English Poor, c. 1600–1850 (Palgrave Macmillan; 2010) 292 pages; scholarly studies of rural and urban poor, as well as vagrants, unmarried mothers, and almshouse dwellers.
• O'Connor, Alice (2000). "Poverty Research and Policy for the Post-Welfare Era". Annual Review of Sociology 26: 547–562. doi:10.1146/annurev.soc.26.1.547. 
• Osberg, Lars; Xu, Kuan. "International Comparisons of Poverty Intensity: index decomposition and bootstrap inference". The Journal of Human Resources 2000 (35): 51–81. 
• Paugam, Serge. "Poverty and Social Exclusion: a sociological view." Pp. 41–62 in The Future of European Welfare, edited by Martin Rhodes and Yves Meny, 1998.
• Philippou, Lambros (2010). "Public Space, Enlarged Mentality and Being-In-Poverty". Philosophical Inquiry 32 (1–2): 103–115. doi:10.5840/philinquiry2010321/218. 
• Prashad, Vijay. The Poorer Nations: A Possible History of the Global South. Verso Books, June 2014. ISBN 1781681589
• Pressman, Steven, Poverty in America: an annotated bibliography. Metuchen, N.J.: Scarecrow Press, 1994 ISBN 0-8108-2833-2
• Rothman, David J., (editor). The Almshouse Experience (Poverty U.S.A.: the Historical Record). New York: Arno Press, 1971. ISBN 0-405-03092-4Reprint of Report of the committee appointed by the Board of Guardians of the Poor of the City and Districts of Philadelphia to visit the cities of Baltimore, New York, Providence, Boston, and Salem (published in Philadelphia, 1827); Report of the Massachusetts General Court's Committee on Pauper Laws (published in [Boston?], 1821); and the 1824 Report of the New York Secretary of State on the relief and settlement of the poor (from the 24th annual report of the New York State Board of Charities, 1901).
• Roy, Arundhati. Capitalism: A Ghost Story. Haymarket Books, 2014. ISBN 1608463850
• Salehi Nejad, Alireza. The Third World: Country or People?. London: Titan Inc., 2011
• Sen, Amartya Poverty and Famines: an essay on entitlement and deprivation. Oxford: Clarendon Press, 1981
• Sen, Amartya. Development as Freedom. New York: Knopf, 1999
• Smeeding, Timothy M., O'Higgins, Michael & Rainwater, Lee. Poverty, Inequality and Income Distribution in Comparative Perspective. Urban Institute Press 1990.
• Smith, Stephen C., Ending Global Poverty: a guide to what works, New York: Palgrave Macmillan, 2005
• Triest, Robert K. (1998). "Has Poverty Gotten Worse?". Journal of Economic Perspectives 12: 97–114. doi:10.1257/jep.12.1.97. 
• Wilson, Richard & Pickett, Kate. The Spirit Level, London: Allen Lane, 2009
• World Bank: "Can South Asia End Poverty in a Generation?"
• World Bank, "World Development Report 2004: Making Services Work For Poor People", 2004.

External links

• Reducing Global Poverty from the Dean Peter Krogh Foreign Affairs Digital Archives
• Data visualizations of the long-run development of poverty and list of data sources on poverty on 'Our World in Data'.
• Islamic Development Bank
• Luxembourg Income Study Contains a wealth of data on income inequality and poverty, and hundreds of its sponsored research papers using this data.
• Organization for Economic Cooperation and Development Contains reports on economic development as well as relations between rich and poor nations.
• OPHI Oxford Poverty & Human Development Initiative (OPHI)] Research to advance the human development approach to poverty reduction.
• Transparency International Tracks issues of government and corporate corruption around the world.
• United Nations Hundreds of free reports related to economic development and standards of living in countries around the world, such as the annual Human Development Report.
• U.S. Agency for International Development USAID is the primary U.S. government agency with the mission for aid to developing countries.
• World Bank Contains hundreds of reports which can be downloaded for free, such as the annual World Development Report.
• World Food Program Associated with the United Nations, the World Food Program compiles hundreds of reports on hunger and food security around the world.
• Why poverty Documentary films about poverty broadcast on television around the world in November 2012, then will be available online.
• Annual income of richest 100 people enough to end global poverty four times over. Oxfam International, 19 January 2013.
• Contains estimates on the number of people living in poverty in selected countries from 1973 to 1985
• This powerful Reddit thread reveals how the poor get by in America (January 2015), The Washington Post
• Summary of Human Development Report 2014, by the United Nations Development Programme
• 2.2 Billion People Are Poor. Truthdig, 23 July 2014.
• Making Poverty History, by Vijay Prashad for Jacobin. 10 November 2014.

English Journal

• The penurious Pap smear: will we ever see payment reflect costs?

• Spires SE.
• Diagnostic cytopathology.Diagn Cytopathol.1998 Aug;19(2):81-3.
• PMID 9702480

• The competitive solution and the health care problems of today.

• Wagner JL1.
• The Quarterly review of economics and business.Q Rev Econ Bus.1990 Winter;30(4):95-100.
• Mark Pauly claims that a "competitive" health care system will solve the health care cost crisis. This article examines how well the competitive solution deals with the five central problems of the health care system: (1) almost universal lack of adequate health insurance for nursing homes and home
• PMID 10109710

• Defederalizing Medicaid: fair to the poor, fair to taxpayers?

• Cromwell J, Hurdle S, Schurman R.
• Journal of health politics, policy and law.J Health Polit Policy Law.1987 Spring;12(1):1-34.
• This paper explores the access and equity implications to the poor and taxpayers of further defederalizing Medicaid program administration. New data on enrollees and tax incidence indicates little horizontal, let alone vertical, equity in the system. Styles of cost control are also examined, showing
• PMID 3295006

Related Links

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• Penurious | Define Penurious at Dictionary.com

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