Soc quiz 5
The IMF
&
Structural
Adjustment
Life and Debt
1944: Bretton Woods
- Post WWII
- Pre-war isolationism and depression
- Post war economic instability and stagnancy
- US and UK most powerful leaders meet to create
“A New Set of Rules for Global economy”
“ A golden Age of Capitalism”
Keynesian policy aimed to:
- Stimulate the economy
- Promote international trade
- Address growing worker discontent
By:
Reconstruction and development
Government regulation of markets
Welfare system for workforce
Fix $35 to 1 oz Gold
Creation of GATT, World Bank…and the IMF
Stage 1: The break down of the $-Gold system – unstable international currency values
- 1971 Nixon abandons the $-Gold system
Why?
Cash for Vietnam without tax increase
More $’s in circulation value of $ falls
- Dollar devalued compared to other currencies
- Cost of US exports falls (a good thing for US manufacturers)
- Cost of foreign imports to US rises (a bad thing for US consumers exacerbating inflation)
Reckless Inflationary Action!! (Interest rates kept low to stimulate economy – lead to inflation)
- Wage gains lagged behind inflation due to poor industrial performance/productivity
- Currencies speculation further destabilizes economies.
- Since dollars weren’t worth much and you couldn’t get much interest on it, investors converted to other currencies
Stage 2: Problems get worse with the Oil Crisis 1973-74, then again 1978-80
- A cartel is formed between OPEC: The Organization of the Petroleum Exporting Countries
- regulate and restrict production of oil
- create set price of oil
- Oil prices rise 3-4 times!!
- Adds to inflationary pressure even while wages fall
Stage 3: Loans, Loans, loans
- “Peripheral”/”Developing” countries encouraged to borrow
Why?
- Lots of excess capital in banks translates into low interest rates (so many $$$’s to lend).
- Inflation in peripheral countries leads to devaluation of their currencies so need $$’s to buy foreign goods including expensive oil
- Legacy of mono-export commodity = peripheral world currencies are especially volatile because of their reliance on a narrow range of tradable goods, e.g. coffee, tin, etc.
- Ideological pressure from US to promote capitalism and contain communism through encouraging reliance on the western hemispheric trade system. Investments in EPZs, reliance on internationally traded products
Stage 4: Change in economic policy in the US
- Late 1970’s Carter administration
tightens US policy
- End inflationary and devaluation policies
Value of $ stabilized
Interest rates increased
Impact globally…
Late ’70s and early ’80s:
-Rising global interest rates
-Rising value of $ (good time to travel, bad time to sell US goods)
-Continuing devaluation of “soft” currencies due to investor-speculators
-Unequal exchange between core-periphery
Stage 5: Default
- Increased interest rates in the industrial core world means that it becomes even harder for peripheral debtor nations to pay back debts.
Emergence of the Debt Crisis in peripheral countries that took out loans when interest rates were low and their currency values were modestly stable
Stage 5: Default
Mexico, 1982: perception that Mexico could not repay debts led to massive capital flight – US govt’, Federal Reserve, IMF and other bail them out.
Triggers flight of capital from other heavy Latin American borrowers such as Argentina, Brazil and Venezuela.
By 1988 15 countries are in debt. They range from Mozambique with debts of 399.7% of its GNP to Mali whose debts are 100.8% of its GNP.
Stage 5: Default
Stage 5: Default
Brazil’s International Debt
Unequal exchange – as core finds new ways to add value
Terms of Trade that favor core nations
Legacies of Import Substitution
Debt Trap
Debt Burden
- Total loans made to oppressive regimes (low and middle-income countries) = $500 billion
- Loans to South Africa’s apartheid regime (being repaid by current government) = $22 billion
- Africa’s debt stock in 1970 = $11 billion
- Africa’s debt stock in 2008 = $215 billion*
- SSA receives $10 billion in aid
- but loses $14 billion in debt payments per year
Emerging Role of The IMF
Private banks will no longer lend money
Enter: The IMF and WB with new short term loans
IMF: Neo-liberal institution - Belief in free-markets, export-led growth, minimal government regulation…
So, loans come with conditionalities known as Structural Adjustment Policies (SAP’s)
= Macro-economic packages which developing countries like Jamaica must comply with before they can receive resources and loans and include
IMF argued that through these policies countries will progress towards western model of efficiency, modernity and development through Privatization, Liberalization and Economic stabilization
“Government is not the solution to our problems.
Government is the problem.”
Ronald Reagan,
Inaugural Address, 1981
Structural Adjustment Programs
“Washington Consensus” (IMF, World Bank)
Austerity measures to reschedule debt (but IMF conditional)
Reduce government expenditures (education, health)
Improve terms for foreign investment (reduced taxes)
Privatize the economy – ‘Free market’
Continue paying debt (often greater than health budgets)
*
Updated
Structural Adjustment Programs
“Washington Consensus” (IMF, World Bank)
1. Decrease government spending:
- Lay off workers (mostly health and education)
- Cut government programs (education, health, agriculture)
- End subsidies for poor (food, transport, housing, water)
2. Improve terms for foreign investment to increase exports:
- Reduce taxation, currency controls on investors
- Devalue currency
- Reduce or freeze wages – reduce worker power
*
Structural Adjustment Programs
“Washington Consensus” (IMF, World Bank)
3. Privatize economy = “Free Market Rules”
- Market regulation of prices (huge increases)
- “Willingness to Pay” ethic for social services
- Growth of private health care
Reschedule debt over longer period (indefinite)
*
Effects of SAPs
- Enormously increased food, transport prices
- Huge levels of unemployment
- Non-living wage for those who remain working ($20-40 per month)
- User fees for health, education, and other services
- Reduction in education, health care quality
- Social unrest – demonstrations, riots
SAPs reduced education budgets… and affected education
MDG2 – Achieve Universal Primary Education
An additional 47 million African children of primary school age will need to be enrolled between 2007 and 2010 to reach MDG…
Source: The DATA Report 2007 - http://www.thedatareport.org/
Updated -
*
SAPs and Reduction in Health Budgets
- Health budgets half of 1980’s levels
- Benin = 9% to 4%
- Mali = 8% to 4%
- Mozambique = 11% to 3%
- Increasing donor dependence
- Support of NGOs for health care
SAPs Weakened National Health Systems in Africa
Ministry of Health (MOH) budgets were slashed, causing:
- Inadequate workforce (numbers, salaries, morale)
- Poorly maintained and equipped health facilities
- Inadequate transport, communication
- Weak procurement and distribution of medicines and supplies
Overall decreased quality of services
*
Crisis in Health Care Providers
- Inadequate professional training
- Inadequate positions
- “Brain drain” of doctors and nurses
- External – to USA, Europe, Japan, other richer countries
- Internal – to better paying jobs in-country (part- or full-time)
*
Distribution of Health Workers in Selected Countries
Source: World Health Organization Statistical Information System (WHOSIS)
*
Need your data table
Dealing with Consequences of Debt
- Adjustment with a Human Face
- Bamako Initiative
- 1990’s Reform
- Heavily Indebted Poor Country Initiative (HIPC) in 1996
- Multilateral Debt Relief Initiative (MDRI) in 2005
“Adjustment with a Human Face” (UNICEF)
- Policies to protect the well-being of the most vulnerable during structural readjustment, but IN THE SHORT TERM (poverty alleviation program)
- Child survival programs
- UNICEF study in 1995:
- 6 of 10 countries - negative nutrition changes and/or IMR
- Increased numbers of people under poverty line
all preceded by decreases in GDP/capita
*
Bamako Initiative – 1987
(UNICEF and WHO)
Formal statement adopted by African Ministers of Health in Bamako, Mali
‘Health of women and children - Funding and management of essential drugs at the community level’
Mandate:
- Drug charges to recover expenditures
- 1st year proceeds for seed capital, 2nd and successive years as replenishment
- CHCs - community health committees
Bamako Initiative – 1987
(UNICEF and WHO)
Implications:
- UNICEF aligned with World Bank
- Charging fees, transferring costs to community
- Health care responsive to DEMAND, not NEED
- Depoliticized health
Impact of SAPs - Immunization Coverage
SAPs
Not sure how to update….
*
1990’s “Reform"
- Continued debt repayment
- Continued price/wage problems
- Sporadic growth with increasing disparity
- Intense pressure on IMF, World Bank
HIPC Initiative
(Heavily Indebted Poor Countries)
- Set up in 1996 to reduce debt burden of poor countries
- Reformed in 1999, after pressure from campaigners
- Lengthy process (10+ years)
- Only 41 countries eligible in 2008 (33 in Africa)
- Does not include all debts (IMF, WB, not private or bilateral)
- Designed to reduce debt to “sustainable” levels
- Conditionality (SAPs) continued
*
How the HIPC Initiative Works
To be considered for HIPC Initiative assistance, a country must:
Be IDA-only and PRGF-eligible;
Face an unsustainable debt burden, beyond traditionally available debt-relief mechanisms;
Establish a (6 year) track record of reform and sound policies through IMF- and IDA-supported programs (‘completion point’)
Have developed a Poverty Reduction Strategy Paper (PRSP) through a broad-based participatory process
Source: IMF Factsheets - http://www.imf.org/external/np/exr/facts/hipc.htm
I added this new slide – necessary?
*
Status of HIPC Eligible African Countries
Source: The DATA Report 2007 - http://www.thedatareport.org/
NEW
*
MDRI & Gleneagles Summit –
Debt Burden in 2005
- Total external debt of low-income countries= $523 billion
- Total debt service being paid every day by low-income countries = $100 million
- Africa’s total external debt = $300 billion
- For every $1 received in grant aid, low income countries paid: $2.30 in debt service
- Many African countries spend more on debt than either health or education
- (e.g., Cameroon, Ethiopia, Gambia, Guinea, Madagascar, Malawi, Mauritania, Senegal, Uganda and Zambia all spent more on debt than health in 2002
Need to update
*
Multilateral Debt Reduction Initiative (MDRI)
- Launched by the G8 at Gleneagles in 2005
- Expand the pre-existing HIPC initiative to eliminate multilateral debt for qualified countries
- Promised 100% cancellation of the World Bank and IMF debt for 23 poor countries that reached ‘completion point’
- Agreed to write off as much as $57.5 billion in debt to some of the world's poorest countries
- No change to SAPs, only WB, IMF debt
Results of HIPC and MDRI (2008)
- Countries which have received debt cancellation through HIPC = 33 out of 41 eligible countries*
- Total debt cancellation between 1996 - 2007 = $23.8 billion*
- Debt cancellation granted in one day to Iraq in Novmeber 2004 by the ‘Paris Club’ = $31 billion**
- Number of qualified teachers which Zambia was unable to employ because of a public sector wage freeze imposed by the IMF in 2004 as a condition of receiving HIPC debt relief = 9,000**
Sources: * HIPC and MDRI - Status of Implementation Report 2008 and
**http://www.networkideas.org/news/aug2006/Debt_Relief.pdf
Updated
*
$15 Billion
US Banks
European Banks
African Governments
Annual Debt Payments Since Mid-1980s
Update?
*
Debt Cancellation Works
- In Benin, 54% of the money saved through debt relief has been spent on health, including on rural primary health care and HIV programs.
- In Tanzania, debt relief enabled the government to abolish primary school fees, leading to a 66% increase in attendance.
- After Mozambique was granted debt relief, it was able to offer all children free immunization. Nurses salaries doubled.
- In Uganda, debt relief led to abolishing school fees (1997) and 2.2 million people gaining access to water
Source: The Data Report 2007 - http://www.thedatareport.org/
*
Millennium Development Goals
United Nations 2000
Eradicate extreme poverty and hunger
Achieve universal primary education
Promote gender equality and empower women
Reduce child mortality
Improve maternal health
Combat HIV/AIDS, malaria, other diseases
Ensure environmental sustainability
Develop a global partnership
Poor achievement in sub-Saharan Africa
MGD 1 - Poverty reduction
Some progress, but not in Africa
Wor
Source: World Bank Group – Global Data Monitoring Information System
MGD 2 - Primary Education Progress
Wor
Source: World Bank Group – Global Data Monitoring Information System
Updated
*
MGD3: Gender equality
Improving – except in Africa
Wor
Source: World Bank Group – Global Data Monitoring Information System
*
MGD 4 – Child Mortality Reduction
Lagging in Africa
Wor
Source: World Bank Group – Global Data Monitoring Information System
Can update…
*
MGD 5 – Improve Maternal Health
Source: World Bank Group – Global Data Monitoring Information System
Wor
Can update…
*
MGD 6 – Combat HIV/AIDS and other Diseases
Source: World Bank Group – Global Data Monitoring Information System
Can update…
*
MGD 7 – Ensure Environmental Sustainability
Source: World Bank Group – Global Data Monitoring Information System
*
MGD 8 – Build Global Partnerships for Development
Source: World Bank Group – Global Data Monitoring Information System
Can update…
*
Location
Nursing & midwifery
density (per 10,000
pop)
Year
Physicians density
(per 10,000 pop)
Year
Per capita gov't
expenditure on
health (2005)
Brazil
38
2000
12
2000
333
Cambodia
9
2000
2
2000
41
Canada
101
2006
19
2006
2424
Chile
6
2003
11
2003
343
China
10
2003
14
2003
122
Colombia
6
2002
14
2002
492
Ethiopia
2
2003
<1.0
2003
12
India
13
2004
6
2004
19
Japan
95
2004
21
2004
2047
Peru
7
1999
12
1999
159
Sri Lanka
17
2004
6
2004
88
Sudan
9
2006
3
2006
20
Thailand
28
2000
4
2000
207
United Kingdom
128
1997
23
1997
2262
USA
94
2000
26
2000
2861