Here in the US, the Congress is wrestling with proposals to replace the Obama-era health reform. One strategy on the table is to modify the benefits that are legally required to be included in health insurance policies; in her confirmation hearing, incoming CMS Administrator Seema Verma suggested that maternity care could be dropped from the list of essential benefits.
CGD Policy Blogs
Many in the development community lament that we have failed on two counts: broad audiences don’t know about unprecedented progress in poverty reduction and human development indicators in recent decades, and, if they do know, they don’t see the connection between aid programs and such progress. Despite strongs efforts on the part of development institutions to measure results, it remains hard to articulate them in a way that is compelling to nontechnical audiences—taxpayers who absolutely deserve to understand why and how development dollars are making a difference.
Each year, CGD’s Commitment to Development Index (CDI) rates 27 of the world‘s richest countries on their commitment to sustainable and fair policies towards poorer countries. This blog looks at why Germany’s performance is only mediocre, why the Finns do so much better, and how Germany’s policies could become more coherent, sustainable and fair.
Martin Kirk and Jason Hickel published a piece earlier this week on the annual Gates Letter. The core critique is that the letter is too rosy. In particular, Kirk and Hickel say of the Gates' letter: "some of their examples are just wrong." The case they provide in illustration is the idea that poverty has been cut by half since 1990. The Gates "use figures based on a $1.25 a day poverty line, but there is a strong scholarly consensus that this line is far too low." Use other poverty lines, and global poverty "hasn’t been falling. In fact, it has been increasing—dramatically.” (See related pieces by Jason here and here). I don't think this critique holds up.
Cost-effectiveness analysis (CEA) can help countries attain and sustain universal health coverage (UHC), as long as it is context-specific and considered within deliberative processes at the country level. Institutionalising robust deliberative processes requires significant time and resources, however, and countries often begin by demanding evidence (including local CEA evidence as well as evidence about local values), whilst striving to strengthen the governance structures and technical capacities with which to generate, consider and act on such evidence. In low- and middle-income countries (LMICs), such capacities could be developed initially around a small technical unit in the health ministry or health insurer. The role of networks, development partners, and global norm setting organisations is crucial in supporting the necessary capacities.
Put funding for the 150 account in context, and you better understand the broader trend and two crucial points: (1) the 150 Account is a tiny slice of the federal budget, so proposed cuts will contribute little toward shoring up much larger accounts like national defense; and (2) increases in foreign assistance over the past sixteen years have supported US development efforts in Iraq and Afghanistan, and helped deliver on a historic US commitment to fight global HIV/AIDS, particularly in Africa.
What Do the Trump Administration's Budget Cuts Mean—and What Do They Mask?—Podcast with Scott Morris and Amanda Glassman
What do the cuts mean for the people most affected and for America’s role as a global development leader? That’s the subject of this edition of the CGD Podcast.
The Trump Administration’s skinny budget is a bit of a public relations exercise in trying to have it both ways on the 150 Account, as observed by our colleague Scott Morris. We’re going to cut dramatically to “prioritize” Americans, but wait, it’s really just a minor reform and rightsizing to get rid of some duplications!
Protecting and restoring tropical forests represents one of the biggest, cheapest, and fastest ways to fight climate change, as Frances Seymour and I show in our book, Why Forests? Why Now? Yet climate conversations in rich countries remain heavily dominated by energy, while tropical forests often feel like climate’s best kept secret. On the International Day of Forests, here are five ways to make tropical forests a better known climate solution.
The pace towards gender equality has been far too slow. Despite major progress on narrowing gender gaps in educational attainment, global progress has stagnated in a most important area for gender equality: women’s participation in the world of paid work. Gender gaps in economic participation are widespread and persistent, averaging around 27 percent globally in 2015, only about 1.5 percent lower than in 1990.