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• The development process began in Japan • In South Asia, where the impact of the
when it opened its economy to increased financial crisis on the region was not as
trade and investment. The rapid severe, economic progress has accelerated
industrialization that followed quickly spread following a shift in policy in the late 1980s
to the neighboring economies of South Korea, and early 1990s. Nevertheless, this region
Singapore, Taiwan and Hong Kong. Economic faces a number of challenges, including
growth in these newly industrialized further progress in reducing poverty and the
economies (NIEs), sometimes called the Asian resolution of political disputes that have
“tigers”, averaged 8 percent per year in the drawn resources away from economic
three decades prior to Asian financial crisis in development.
1997.
3. GREEN GNP
Start of the Asian Crisis • First, a speculative bubble in the housing and
equity markets arose which was funded and
• June 1997, after a sustained attack on the
sustained by excessive lending by the banking
currency led by currency hedge funds, the
system.
Thai baht sustained a large devaluation.
• Second, external sector difficulties emerged
• Currency devaluations in Malaysia, Indonesia
including slow export growth, loss of external
and the Philippines followed in July.
competitiveness and rapid growth in current
(Malaysian ringgit, the Indonesian rupiah, and
account deficits.
the Philippine peso)
• Third, capital flight and investor panic spread
• The currency weakness extended to Australia,
across the region through a contagion
Hong Kong and Korea currencies in October.
mechanism as a result of globalization.
• While the currency parity with the US dollar
The Asian Crisis – The Bubble Economy
was maintained, the stock market fell by
about 30 percent of its value in a week. • First, the bubble economy was the result of
interaction between lenders (mostly banks)
The Asian Crisis
that borrowed offshore at high interest rates
• By early 1998, currencies fell by 35% to 55% and relend at higher rates to domestic
for Korea, Philippines, Malaysia and Thailand, investors.
and more than 15% for Singapore and
• The domestic investors borrowed extensively
Taiwan.
to finance speculative investments in the
• Indonesia suffered greatest fall of 80%. housing and equity markets.
• Equity prices also fell as a result of investor • This created a speculative bubble that
uncertainty and currency volatility (Table 3.1). depended on a stable exchange rate and high
profits.
• Thin and restricted equity markets
exaggerated the decline. • High profits became more improbable as the
boom reached its peak, which was further
• Lack of hedging facilities forced investors to undermined by the successive devaluations in
reduce holdings dramatically. all the economies as the crisis unfolded.
• Interest rates were raised to help stabilize • Banking weakness was reinforced by a lack of
currencies and liquidity was reduced. competition and unsound lending practices.
• The result was a sharp decline in aggregate • These included risky long term lending in local
economic activity in late 1997 and in 1998. currency using short term dollar loans from
overseas lenders.
Explanations for the Asian Crisis
• When these borrowers defaulted it resulted • Countries that had strong currencies and
in the inability of the banks to repay these economies, such as Hong Kong, Singapore
short term dollar obligations. and Taiwan were also adversely affected.
• This banking crisis was also influenced by • As the foreign exchange crisis unfolded, there
moral hazard was a dramatic turn around in net private
capital flows to the region – from a $97 billion
• Moral hazard occurs when an agent takes
inflow in 1996 to a $12 billion outflow in
more risk because they are insured against
1997.
the negative consequence of such actions.
• This $109 billion reversal was about 10% of
• In the case of the Asian financial crisis banks
the GDP of the five most affected economies
thoughts that governments would insure a
– Indonesia, Korea, Malaysia, Philippines, and
stable exchange rate.
Thailand.
• They also might have thought that the
• There was also a dramatic reversal in bank
government would bail them out if they
credit which also amounted to about 10
found themselves in financial trouble
percent of GDP.
The Asian Crisis – External Sector Difficulties
• Together, the reversal of capital flows and
• Second, as the bubble of the early 1990s bank credit created a liquidity crisis that led
progressed, current account deficits also to a sharp fall in income and output.
grew as offshore borrowing increased.
• Indonesia, which had been a model of probity
• While exports were growing rapidly, this was and sensible policies was hardest hit by the
viewed as a sign of strong investment and crisis as its exchange rate fell by over 50
growth enhancing capital expansion. percent and aggregate incomes fell
dramatically.
• However, when export growth began to sag
in 1996 this large current account deficits • This contagion effect was the result of
became a growing liability and worry for investors pulling out of many economies
international investors. simultaneously.
• Exchange rates were tied to the dollar and • The pressure that arose on all the currencies
exports were hurt in international markets as of the region could have been a combination
the dollar appreciated in the mid 1990s. of this contagion effect as well as a process of
“competitive devaluations” as investment
funds left the region.
Post-Crisis Experience
The Asian Crisis – Contagion Effects • The impact of the crisis was fully felt in 1998
when all the crisis countries and most other
• Third, there was a strong contagion effect as
countries had negative or very small rates of
the financial crisis spread across the region.
positive growth.
• PRC and Taiwan were the only exceptions. • Some adverse effects on school enrollment
and on health indicators were observed.
• Equity prices also fell across the region in
1998. The Recovery Part 1
• Korea and Malaysia have been particularly • Between 2002 and 2007 economic growth in
successful in reducing NPLs, enabling the the Asian region accelerated, led by India and
banking system to begin to extend new loans. China. Living standards increased and poverty
fell.
• Thailand and Indonesia have been only
moderately successful while in the • Domestic demand and foreign trade were
Philippines, the level of NPLs, though small both important factors in the resumption of
during the crisis, has crept up in recent years. growth.
• Poverty levels increased between 1997 and • Half the GDP of the region and one third of
1998. exports originates in China
• Disadvantaged groups such as the poor, • China joined WTO several years ago.
women, children and the elderly were the
• Import GDP ratio is 34% in China versus 9%
worse hit by the crisis.
for Japan.
• Shows Japan is still somewhat protectionist. • Asia is in good shape to offset these
anticipated weaknesses in the foreign sector
• Middle income countries are being squeezed
with monetary and fiscal stimulus.
by China.
• Most countries cut interest rates in last four
• In Southeast Asia in particular.
months of 2008.
• China is now the largest trader in Asia
• Falling energy and food prices should
overtaking Japan.
ameliorate any tendencies toward inflation.
• China competes in many different
• There has been general fiscal stimulus.
international markets from labor intensive to
skill intensive. • China’s projected $850 billion additional
spending on infrastructure in next few years.
• Innovation and new products are drivers of
trade in Asia now. • East Asia and Southeast Asia have current
account surpluses.
• 60% of export growth in Asia is in new
varieties and products not more of the same • All countries in the region have ample foreign
products. exchange reserves.
• Geography and outsourcing are important • India could have a more difficult time than
and locational advantages are shaped by the rest of the region.
various factors.
• It has a large fiscal deficit which limits fiscal
• History, availability of manpower, availability stimulus.
of capital, cost of shipping and agglomeration
• Lack of willingness of overseas lenders to
economies all play a role.
investment.
• Shenzen in China and Bangalore in India are
• As the global recession deepens greater cuts
examples of agglomeration economies.
in employment and exports in Asia.
• Export processing zones help create
• Could create greater social tension.
incentives for high growth export
development and innovation. • Exacerbate poverty with reverse migration.
The Recovery Part 3 • Singapore, Hong Kong and Malaysia most
exposed to foreign trade.
• As the global economic crisis unfolds in 2009
Asia is being adversely affected. • Both Hong Kong and Singapore adversely
affected in Asian crisis of 1997.
• Slower growth in Asia in 2009 and perhaps
2010 is anticipated. • Thailand’s prospects will also be adversely
affected by political uncertainty.
• There will be a slowdown in export demand
from Europe, Japan and the United States. • Taiwan will have to fight its way through a
recession that has already begun.
• Korea has a lot of household debt which • Consideration of capital account reforms to
could slow the economy further. include possible taxes on short term capital
but where not approved.
• But a big fiscal stimulus and currency
depreciation of around 30 percent in 2008 • Possible controls on international portfolio
which should boost exports. movements were also considered but not
implemented.
• Volatility in many markets will restrain risk
taking and investment. • Minimum international standards of financial
practice were implemented.
• Volatility causes sharp changes in balance of
payments • Accountability and transparency of business
practices strengthened.
• Puts pressure on governments to adjust their
budgets to reflect these shifts. • Increased international surveillance to detect
possible future financial crises have been
• It creates uncertainty in the business
considered but not implemented.
community
• Basle accords used to strengthen supervision
• Has a dampening impact on investment.
and regulation of banking systems.
• The economic recovery continued into the
• Introduce greater competition in financial
second and third quarter of 2009.
markets while strengthening prudential
• Industrial countries and developing countries regulations.
in Asia all benefited.
• Improve accounting and disclosure standards.
• Stimulus packages were adopted by many
• Introduce greater flexibility and depth into
countries including fiscal and monetary
financial markets including greater hedging
measures.
and providing greater access for foreign
Agenda for Reform investors.
• In the wake of the Asian crisis, there were a • Maintain open trading environments in
number of reforms keeping with WTO and regional trading
arrangements.
• Continuation of the debt restructuring
process with help of AMCs. • Look into ways of restraining FDI concessions
that distort incentives and distort the flow of
• Arrangements of credit lines with the private investment.
sector.
• Enhance the flow of technical expertise,
• Reform of exchange rate regimes to reduce innovation and human capital flows and
the chance of abrupt currency devaluation. exchanges.
• The movement of hot money that takes • Continue to undertake research into the
advantage of large short term interest process of financial and economic crises.
differentials was discouraged or made illegal.
Growth Projections
• In this section we explore prospect for future Education and health (h)
growth and structural change.
Governance, corruption, foreign investment
• We begin with a simple growth model also important as indirect determinants of
TFP
• y = (ls) h + (1- ls) k + a
• y = h + a/ ls
Investment
TFP (a)
• Finally, agriculture provides a rich market for • The combination of low-income elasticity of
the output of the modern urban sector. demand for agricultural products and sluggish
prices exerted strong pressure on resources
• The transition from a primarily rural based to move out of the sector.
economy to an industrial economy requires a
strong agricultural sector. • This facilitated and accelerated the migration
to urban areas where rapidly growing
• This is because a surplus from agriculture is industrial establishments required more
needed to fuel investment in industry. workers.
Decline of the Agriculture Sector` Productivity in Agriculture
• Experience of a broad range of countries • Labor productivity is usually higher in
indicates that the relative importance of the agricultural sector than industry at the
agricultural sector to the economy diminishes beginning of the industrialization process.
with growth over time.
• As industrialization moved forward,
• As income increases, share of agricultural industrial productivity exceeded agricultural
value-added in GDP and as a source of productivity, which still remained high.
unemployment declines.
• This provided a mutually reinforcing positive
Agricultural Transformation in Asia impact on economic growth.
• The decline of the agricultural sector • In some countries, productivity came from
appeared to be directly proportional to expansion of land/irrigation and in others
overall rate of economic growth. from improved yields using better crop
varieties.
• Agriculture’s share of output declined
gradually from over 60% in the 1950s in most • The experience in Asia was different from
Asian countries to less than 20% by the that observed in other developing regions
1990s.
where agricultural productivity often • Irrigation and higher yielding varieties were
stagnated. the keys to transforming traditional
agriculture and raising productivity.
• Industrialization strategies in various Asian
countries had been financed in many cases by • This transformation was required to lift
internal savings generated primarily from savings and to provide labor and investment
agriculture. for the growing industrial sector.
• One good example is Taiwan. In other cases, • Adoption of more modern technology was
such as Korea, overseas borrowing slowed by the risk averse behavior of small
augmented these savings from agriculture. farmers.
• Agricultural productivity in Asia exceed those • Several new developments were key
of Latin America and Africa. components in the transformation to higher
yielding and more progressive agriculture.
• Growth in per capita food production in Latin
America and Near East fluctuated within 10% • These included adoption of higher yielding
range; whilst Africa showed a steady decline varieties, application of fertilizers, herbicides
over the last 20 years. and pesticides and greater use of irrigation.
• In contrast, the growth of per capita food • Other developments didn’t help much.
production in Asia shows a steady increase
• These included changes in farm size and in
over time, increasing by nearly 40 percent by
land tenure.
the end of the period.
• Far reaching land reform was difficult, if not
• The largest increments were achieved in the
impossible, and changes in tenancy
late 80s and early 90s.
arrangements didn’t bring about any
• Hence, its astounding agricultural productivity uniformly significant gains in productivity.
presents a key link to the chain of
• Macroeconomic policies were generally
developments that led to Asia’s economic
supportive of agricultural development, and
success.
the sector was not “squeezed” as it was in
Agricultural Development in Monsoon Asia some other developing region.
• Monsoon agriculture requires extensive labor • Nevertheless there were still taxes on the
input during planting and harvesting. sector which were used to subsidize growth
in other sectors of the economy, particularly
• Most agriculture was rain fed in the early part
industry.
of the 20th century.
Lessons and Policy Issues in Asian Agriculture
• Farms were small and population densities
high, conditions that were ideal for rice • Subsidies to mechanization should be
cultivation. removed.
• Traditional agriculture was quite efficient, • Once this is done, mechanization should be
given its limitations. left to the market, since its profitability and
scope of applicability will depend upon local
conditions.
Such comparisons allow us to draw several In PRC, India, Vietnam and Indonesia, large
inferences. Some of them reinforce previous firms are kept in business because of the
observations. feared adverse effects on employment.
The share of manufactured goods in total One method of facilitating entry into new
exports increased dramatically. business and of attracting overseas FDI is
through the set up of Special Economic Zones
This shift in production corresponded closely (SEZs).
with a similar shift in production taking place
in the world economy. Many countries in Asia have set them up.
The export push began in labor intensive SEZs can be extended to the notion of an
goods and moved to electronics and other industrial cluster.
science based exports.
3 main kinds of industrial clusters are large
The pattern was more pronounced in East metropolitan agglomerations, small groups of
Asia and Southeast Asia but was also firms with similar interests and clusters with a
observed in South Asia. few main producers and their suppliers.
Because of this shift, Asian countries were Much innovation in Southeast Asia has been
able to gain market share of world exports the result of spending by MNCs.
over a twenty year period
Innovation and technology transfer takes
Role of Innovation place most often when capital equipment and
components are imported by export oriented
If we break down the composition of output manufacturing firms
growth in the NIEs and SE Asia:
Research is often conducted jointly with Research and development not only increases
these foreign firms. with per capital income but it accelerates at
an increasing pace.
Innovation in marketing and distribution as
ICT and transportation efficiency gains have Appropriate technology is more important
cut costs. than state of the art technology.
State owner enterprises are notoriously slow Employment Growth and Industrialization
to innovate
Flexible wages and appropriate technology
Labor intensive innovation can take place are needed to absorb labor into industry
when technical change is based on skill quickly and effectively.
intensive industries.
This enables employment to grow with
It is important that labor markets remain output without inflation.
flexible in order to facilitate labor absorption.
Most East and Southeast Asian economies
Until the Asian crisis, most economies in the were fully or nearly fully employed for most
NIEs and Southeast Asia were close to or fully of their growth spurt.
employed.
South Asia was not as fortunate as income
The importance of private research and growth was not sufficient to reduce
development can not be overemphasized. unemployment dramatically.
State owned enterprises (SOEs) are not good Rural to Urban Migration
at R and D or innovation.
As industrialization proceeded, so did the
60 % of FDI in East Asia is in manufacturing. movement of labor from rural to urban areas.
Government Policy
• Despite substantial economic growth in many • Which poverty line or ‘threshold’ to use?.
countries, poverty remains widespread.
• What is the depth of poverty? How is that
• Estimates vary but at least 1.4 billion people measured?
live in poverty worldwide (about 25% of the
• Household poverty or individual poverty?
world’s population)
This issue is particularly relevant when some
• The gap between the richest and poorest
household members are systematically deprived of
countries has grown.
food and shelter – often girls and women.
• Poverty tends to perpetuate itself since the
Measures of Inequality
children of the poor tend to remain poor.
• Inequality is pertains to the ‘fairness’ in the
• This is sometimes called the “vicious circle” of
distribution of income in the population
poverty.
• In other words, the gap between the rich and
• Poverty tends to be concentrated in countries
the poor
that are in the “tropics”.
• What is ‘fair’ and ‘not fair’ is highly subjective
• This has led some to believe in a “climate”
theory of development. • Objective measures satisfy certain criteria:
• The “climate theory” receives support when it (i) independence of scale and the size of the
is recognized that these regions in the tropics population.
have greater difficulties with diseases and
(ii) It should also be sensitive to transfers of
also with achieving rapid growth in
income within the income distribution at all
agricultural productivity.
income levels.
• Singapore, Thailand and Mexico are several
(iii) An additional desirable feature is
exceptions to this rule.
decomposability – that is, the measure can be
• Nevertheless, the evidence is strong broken into several different components.
• The Simon Kuznets’ Curve says that • Therefore it may be better to pursue growth
inequality follows an inverted U shape – objectives just so long as they do not have a
inequality is low at low levels of income, then strong negative impact on income
deteriorates rapidly as income increases (with distribution.
development); inequality levels improve
Inequality and Openness
again at higher levels of income.
• World Bank data suggests that the intensity
• This inverted U shape is explained by the
of trade (trade openness) and income
greater variation in incomes that come about
distribution are inversely related.
during the early phases of industrialization
• This suggests that there may be a “virtuous
• There is virtually no evidence of a Kuznets
cycle” going on in East Asia.
curve for countries that have a large number
of observations, with the exception of • Human capital has been developed and
England, which did have an upsurge in income distributions improved within the
inequality during the industrial revolution. context of an open and dynamic export based
orientation.
• For a cross-section of developing countries,
there is greater evidence of an “inverted U” • The World Bank study also suggests that
shape for income distribution. having a substantial natural resource base
may serve to inhibit the rate of growth.
• This may be because of Latin America, where
incomes are average and income inequality is • While the level of average education is about
large. the same in Latin American and Asia, it may
be that resource based economies have not
• When Latin America countries are removed
been able to fully utilize human capital in new
from the study, no “inverted U” is observed.
and dynamic industries requiring skill and
know how.
• Trade openness allows Asian economies to Aspects of Rural Poverty
take advantage of externalities in marketing
• Poverty is usually associated with the lack of
and distribution that help exporters lower
ownership of productive assets.
costs.
• Lack of physical resources in rural areas
The Unequal Burden of Poverty
relates primarily to land and agriculture.
• Women, children, the elderly and ethnic
• Education and educational opportunities are
minorities are more likely to be poor than
also low in rural areas and this inhibits
other groups.
mobility out of agriculture.
• Children are poorer mainly because the poor
• With little knowledge, the rural poor have
have larger families.
difficulty in adopting new technology.
• The elderly are poor because there is no
• Medical problems among the rural poor -
social safety net in most developing
stemming from limited access to clean water
countries.
and good sanitation - can sap resources.
• Ethnic minorities are poor because of
• Migrants from rural areas to the city
discrimination and because they are usually
constitute the bulk of the urban poor.
based in rural areas.
• Lack of human capital is the main reason for
• If you are a female, single parent from an
poverty in urban areas.
ethnic minority or a girl born into such a
family, your chances of being poor are • Poverty rates are lower in urban areas,
extremely high. despite the influx of migrants from the
countryside (Table 9.6).
• Why are people poor? No stock of human
and/or physical capital, and discrimination. • Poor in urban areas are primarily self-
employed or working in small scale
• Lower education and health are main reasons
establishments.
for higher poverty among women.
• These include food stalls, selling lottery
• Those who have skills and capital are more
tickets, newspapers and cigarettes, repairing
productive and are paid higher wages (or
cars and bicycles, street side shoe repair,
allocated more resources) in line with
operate pedicabs and motorized tricycles,
marginal productivity theory.
garbage collection and recycling.
• Within households, those who are denied
Labor Absorption & Employment
resources are generally the least productive
within the family – elderly, females and • Most Asian labor markets are characterized
children. by “market dualism”.
• Many of the decisions to share resources • Wages are much higher in the formal sector
within a family and in society in general are in than in the informal sector.
basic agreement with the principles of
allocation of resources.
• Most of the poor are precluded from the Specific Policies to Address Rural Poverty
formal sector because of a lack of skill.
• Uplift the status of women including more
• Despite the experience of the miracle emphasis on truck farming and livestock and
economies, industrialization alone cannot be more education.
relied on to solve the unemployment problem
• Relax tenancy regulations allowing tenancy to
in the poorest countries.
expand and to be legalized.
• There has to be job growth in other sectors as
• Expand the availability of rural credit within a
well, including the service sector and in
market framework. Avoid expensive schemes
agriculture.
that lend money to the already rich absentee
• Restrictive wage practices that lift the landlord.
minimum wage above the acceptable
• Encourage labor migration out of
subsistence wage will serve to further limit
unproductive areas to urban areas or
employment growth.
overseas.
• Discrimination against those having highest
• Provide additional appropriate rural
rates of poverty – women, minorities and the
infrastructure such as roads in farming areas.
elderly who want to work – has to be
reduced. • Make sure exchange rates are not
overvalued, where these tax exports and
Policies to Further Reduce Poverty
subsidize imports.
• Removal of distortions that stimulate capital
• Establish property rights where possible –
intensive production technology such as
particularly for tenants who can sell these
subsidies and tax breaks, preferential tariffs
rights and use it to borrow in formal credit
and undervalued exchange rates.
markets at favorable rates.
• Redistribution of physical assets, insofar as
• Accelerate economic growth.
politically feasible, including land and physical
capital including buildings and equipment. • Provide a higher level of social services by
careful targeting – Kerala province of India
• Give the poor better access to education, on
and Sri Lanka are good examples.
the job training and short training courses to
develop specific skills. • Provide more economic opportunities for
slum dwellers or “squatters”- who comprise
• Implement a progressive tax program without
at least a third of urban residents in Asia
loopholes for the rich and also a tax on
intergenerational transfer of wealth. • Finally, develop a more rational land use
policy in urban areas that does away with
• Increase subsidies and direct transfers to the
rent controls, do away with large military
poor.
encampments in urban areas and provides a
reasonable amount of land for the poor to
relocate.
Chapter 11 – Human Resource Development: A • In some developing countries, private schools
Focus on Education & Health have flourished
• There does not seem to be any relationship • Greater competition is believed to result in
between the share of the private sector in greater efficiency
higher education & the level of per capita
• Index of private financing & costs per capita
income.
of public higher education are further shown
• Having said this, it is also true that the to be inversely related in Asia
poorest countries in the region all have small
• Rates of return to education decline with
private sector involvement in higher
years of schooling as expected (Table 10.7)
education.
• Returns are normally highest for primary
Trends in Enrolment Ratios
education & lower for higher levels of
• Primary education has become widespread, if education
not universal throughout Asia
• However, the intrinsic merit good nature of
• However the quality of this education can education is not that strong since social
vary substantially returns are lower than private returns
• Efficiency of education (lack of over-age & • Based on the successful experience of the
repeaters) is higher in richer countries NIEs, this strategy to have larger classes &
higher pay for teachers has paid off in terms
• Across Asia, the NIEs had a high mean
of a more efficient delivery of educational
number of years of schooling for the
services (Table 10.9 & Table 10.10)
workforce.
Rates of Return to Education pupil/student ratios & decentralization of
authority over curriculum, management &
• A broader cross-cultural study of rates of
budgets are encouraged.
return suggests that rates of return to
education in poor countries has risen in the • Provision of a good school environment with
past few decades better material resources & more qualified
teachers is critical for developing countries.
• This may reflect the increased openness that
has made technology more accessible • There is a strong case for cutting the subsidy
throughout the world & raised the returns to to tertiary education in developing countries,
skilled labor in poorer countries including the brain drain problem, higher
costs per student & lower returns using the
Gender Disparities in Education
“merit goods” logic.
• Literacy rates between genders are very
• It is important to recognize that a balance
similar for many Asian countries with the
must be struck between various policy
exception of South Asia (Table 10.8)
objectives
• Enrolment rates are similarly biased toward
• If the educational system is to be used to
men in South Asia
address poverty & income inequality it may
• In several countries (Indonesia, Philippines & be useful to consider scholarships for gifted
Thailand), tertiary education is higher for poor students rather than an across the
women, a somewhat surprising result given board cut in subsidies to tertiary education
gender discrimination in so many other
• The provision of more private schools runs
aspects of economic life
the risk of creating an “educational divide.”
Major Policy Conclusions for Asia
• There are missing credit markets for
• Curbing population growth means lower education that should be addressed either
dependency ratios; this increases the ability through government program or greater
of the society to provide education with the access to bank loans.
same resource base.
Health & Nutrition
• It pays to educate teachers more intensively,
• Health, for our purposes, means absence of
to develop better classroom materials & to
illness & infirmity
pay teachers more.
• As indices of health (or illness), we use
• It pays to put money into education of
morbidity & mortality rates
females.
• Mortality is more closely monitored than
• It pays to introduce some private schools at
morbidity & is more easily defined
the tertiary level and/or reduce the subsidy
to tertiary education. • Infant mortality, life expectancy, crude birth
rates & crude death rates are also terms that
• To improve efficiency of the delivery of
are widely used
educational services, experiments with higher
Health Patterns Aspects of Health (Environmental Health)
• The curve relating per capita income & life Aspects of Health (Malnutrition & Food
expectancy has shifted up over time, but it is Consumption)
still virtually flat after a certain level of per
capita income (Figure 10.5) • What causes malnutrition & how could
nutritional improvements contribute to
• Life expectancy rates in the poorer countries economic development?
have caught up rapidly with rich countries in
the 1960s owing to advances in medical • The consumption of food, like any
technology other good or services, are
determined by three elements:
• Poor health has an adverse impact on
labor productivity but is this a cause or • Income
a consequence of economic growth?
• Prices
• In some cases, improvements in the health
• Tastes
environment (malaria eradication) was
followed by economic development in several • Engel’s law says that poorer households
Asian countries – including Thailand and the devote a greater proportion of their budget
Philippines to food & that they have a relatively high
income elasticity of demand for food
• In other cases, the causation is less clear
• Within households, female children are
• The relationship between infant mortality &
generally made to accept the greater
economic growth is particularly strong
nutritional burden of adjustment to
unfavourable price movement
• Many traditional societies have beliefs about • Lost productivity among infected
the health effects of various foods that are members of the workforce
not supported by modern nutritional science
• Lost income and potential savings of
• Soybean products, for example, are found to infected working-age individuals
be a cheaper source of protein than animal
• Reduction in the stock of human
products, yet families still demand meat
capital
Aspects of Health (Medical Facilities & Services)
• To control the spread of AIDs, control of the
• Medical facilities & services in developing spread from 4 high risk groups is required
countries are very inadequate in providing
• Some measures include:
for health needs of the population
• Promote the use of condoms among
• Public expenditures on health is much lower
sex workers & bisexual men
than those for education & defense
• Publicize the necessity for using
• Developing countries tend to spend far more
measures to protect against Aids such
on curative resources than on preventive
as condoms & not sharing needles
health care
• Make condoms & needles widely
Public Health Policies in Asia
available & at reasonable prices or
• Public health spending could be increased as else supplied for free in clinics
a proportion of total health spending to
• General promotion of HIV/AIDs
address needs of poor
awareness through public media &
• In Asia, infant mortality & income growth are NGOs as well as newspapers &
highly negatively correlated magazine articles
• Causation is unclear but health outcomes are Important considerations in HIV/AIDS containment
closely interrelated with speed of
• Wealth Matters!
development
• Education Matters!
• Medical services with higher positive
externalities should be subsidized - Having more wealth and higher levels of
education lead to a better understanding of the
HIV/Aids in Asia
disease – how it is contracted and its devastating
• HIV/AIDS prevalence in Asia has increased in consequences – and this leads to less risky behavior
the last decade and pose significant
- once HIV penetrates society, the poor and the
constraints to development in the region
uneducated are at highest risk
• 4 high risk groups: sex workers & their
- wealthier, more educated married women
clients, drug users & men who have sex with
tend to speak to their husbands more about avoiding
other men
AIDS
• HIV/AIDS impacts on the economy via …
• Policy Implications – preventative
• This perspective allows us to explore other • Reduces the problem of moral hazard.
motivations for individual behavior, such as • Reduces problems of principle/agent and
the interests of others and society. asymmetric information.
• Altruistic behavior can put the interests of • Reduces problem of crime and corruption.
others on an equal plane with our own self-
interest. • Improves business ethics (Ford Pinto, Exxon,
Enron, tobacco companies).
How Do We Model Altruism?
• Taking positions on issues as informed
• Put altruism as a taste variable in the utility citizens (environment, health care,
function. sentencing of criminals).
• Allow altruism to be modeled as cooperative • Avoids free rider problem.
behavior in “prisoner dilemma” situations
How Does Altruism/Ethics Alter Economic Analysis?
• Altruism as quid pro quo - regarded as
reciprocal/conditional altruism - in return for • We can augment economic analysis by
a favour. including altruistic or cooperative or
communitarian values in the objective
• Altruism may be a genetically inherited trait function of individuals.
using sociobiology arguments.
• We can also try and go beyond economic
• Altruism may be a moral duty ala Kant’s analysis and develop a synthesis with other
”categorical imperative.” disciplines such as sociology and
Advantages of Altruistic/Cooperative Behavior philosophy/ethics.
• Little has been written on this topic. • Keep better and more accurate records.
• However it has been found that higher • Appoint higher quality bureaucrats and
incomes and more stringent penalties helps judges.
to reduce corruption and richer countries
• Make promotion based on performance, not
have both.
who you know.
• A surrogate measure of corruption is
• Reduce the discretion of any individual –rules
economic openness. The more open the
based systems.
economy, the greater the flow of information,
and the less opportunities for corruption. • Cut down red tape/size of bureaucracy.
• Reduce nepotism