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The Earth Times | Posted August 2, 2002



Q&A: Professor Jeffrey Sachs, Leading World Economist, Discusses Prospects for Johannesburg Summit
> BY PRANAY GUPTE
Copyright © 2002 by The Earth Times. All rights reserved


Jeffrey Sachs was one of the youngest professors at Harvard University to have received tenure. He is world renowned for his strong views of economic development. He recently became head of Columbia University's Earth Institute. The folowing are excerpts from an interview:

There is an impression that the PrepCom in Bali for the World Summit was very unsuccessful and that there is not the kind of support for the summit that people would like to see. Is that the correct impression?

I think that no doubt the stakes are very high and the results of the summit still hang in the balance. This summit is taking place in the backdrop of 10 years of substantial failures to implement the agreed agenda of the Rio summit and Agenda 21. And what that means in practical terms is that despite very high expectations raised a decade ago, the prospects for sustainable development on the planet in many ways darkened over the past decade in both sides of that sustainable development concept. On the sustirainability of environmental side, a lot of hopes for heading off the loss of biodiversity, the continuing massive devastation of the critical ecosystems which support life, of coming with to grips with global climate change, have certainly not been realized. And at the same time, on the development side of the equation there is no doubt that the world's poorest people, roughly the poorest billion people on the planet, have suffered the continuing worsening of the already shockingly impoverished conditions during the past decade. So Johannesburg has come not at a time of triumph for the world community but at a time of continuing failure to come to grips with fundamental issues that we face. Add on all of the anxieties of the world holding together peacefully after Sept. 11, with all of the other urgencies of a world economy that is hardly dynamic and where there are enough crises to go around. I think that there is tremendous sense, a realistic sense, of worry whether this summit can rise to the occasion and help set the global community on the right path.

What would you hope it would accomplish?

I am hoping to see some practical commitments that are bold enough to give a sense of hope, direction, purpose and measurable success for the frequently enunciated shared goals of the world, but the goals that have certainly not been achieved in practice. The world community many times in the past 15 years has adopted bold objectives for ending or reducing poverty, for slashing hunger, for helping the world's poor gain basic access to health services, to water and sanitation, or a safe physical environment. We have made grand goals of preserving nature, biodiversity, the functioning of our global fisheries, our other vital ecosystems. We have committed ourselves to address global man-made climate change. We all know and understand the profound risks for the entire planet and yet we do not really see the kind of scaled, systematic, sustained response at the international political level, with the financing that would be needed, and with the plans of action that would be needed. And so what I am hoping to see is some results in the critical areas. Secretary General Kofi Annan has identified five priority areas--for example water, meaning both the access of the poor to safe, clean water and sustainable protection of our freshwater resources, which we know are going to be under tremendous stress. Energy--helping two billion people outside of the world energy system, other than burning of biomass, gain access to modern energy, which they need for their basic economic development--and at the same time having that energy come in a clean way which does not further upset the ecosystem and further propel climate change. Secretary General Annan noted that the millions of people are dying each year because they live in a simply unacceptably unsafe physical environment. Children who die of indoor air pollution by the millions. Children who succumb to basic, easily preventable diseases of waterborne illness because they lack access to safe water. Agriculture--the fact that one to two billion people are living as peasant farmers at the edge of subsistence with such unproductive agriculture that they can hardly feed their families, much less support their societies, their urban environment and so forth. And in many of these impoverished world regions the soils are being rapidly depleted, erosion is proceeding tremendously fast, deforestation is continuing at a shocking pace, so agricultural productivity that is both sustainable and gets to the core of the hunger problem for hundreds of millions of people is a fourth priority. And finally biodiversity and ecosystem protection--that great commitment to sustainability which we're good at enunciating as a general principle but very poor at putting it in the practice--is the fifth area where the Secretary General has identified the need for real action. I can say that despite the thousands of pages and millions of worlds that are enunciated every year, there is no plan of action that addresses any of those problems in a realistic way. There is no global plan of action that addresses any of those five problems in a realistic way right now. There is no blueprint. There is no plan in a World Bank desk drawer, or UN desk drawer, or WHO desk drawer, that says: Here is what we are going to do, here is how we are going to proceed, here is what will it cost, here is how we get engagement at the local level.

Reality check. How do you get that?

First we have to recognize that unless we realize that we need strategies, we are not going to get them, because all of those areas that I mentioned and that I could mention will not take care of themselves. These are not problems that will be solved by market forces alone. In some cases, market forces--certainly under current arrangements--were very much in the wrong direction. But we know that market forces by themselves will not address urgent needs of the very poorest, who have no votes in the market, who have no voice in the market, who have no command over market-based resources. So this is not the kind of problem that we generally deal with in our society. We think that the decentralized actions of millions of people operating according to their self-interest is somehow going to bring about the results that we need. We need coherent action. Second, we need action at a larger scale. These are not problems that are going to be solved by a few private projects or by the US feeling good and helping create a school in the world district in Tanzania or helping in one particular environmental project.

These are problems of a very large scale affecting hundreds of millions of people at the minimum, and in some cases affecting all 6.2 billion people on the planet, and therefore they require a strategic view. Third, since a lot of these problems affect the very poorest people on the planet, they cannot be solved out of the resources that those people have on their own. These problems will be solved only if there is substantial degree of cooperation between the rich, who have resources beyond imagining, and the very poor, whose lack of resources is beyond the imagining of the rich. The rich cannot understand how the poor in the world live. They do not know. Fourth is the huge, huge operational problem, which is that every problem that I mentioned--water, energy, health, agriculture, biodiversity--requires solutions that are tailored to the local specific conditions of thousands of different places around the world and where the actual solutions are going to be carried out by people living in the villages, in communities, in urban environments, in different places, not by a SWAT force that moves in and solves the problem form outside. So, while we need global conceptions and global financing, we need local solutions. That requires a degree of imaginative organization and the ability to cooperate, the ability to listen across cultures and to work across in networks, that does not exist for most problems in the world.

Who are the leaders?

So far there have been no leaders in this. I think our most important voice of leadership in the world is the Secretary General of the United Nations, one of the unique individuals who speak for the world, and whom the world admires and listens to. He commands very few resources. He could not conceivably have a mandate to solve these problems on his own. We have had, in my own opinion, a dearth of leadership from the United States on these critical issues for the last generation. And that is a major problem. That is a bipartisan problem, by the way. This is not picking on any one administration, or on the White House as opposed to Congress. This is a neglect by the American political class of issues that go beyond our borders. We were shocked when we were hit from the outside, because there is so little appreciation in the United States, among those who could make a difference, of what the real situation in the rest of the world is. And this is something that I have been bemoaning my whole professional career. I have to say until I myself started working in Bolivia, in Poland or other places, where I had the good fortune to work on the ground, I also did not have a clue. I thought I knew everything, understood everything. One day I walked off an airplane into a real setting, already a tenured professor, quite convinced that everything was under control, that I knew what I was doing, and then I started giving advice. But I came to understand that unless you are on the ground and unless you are making a phenomenal effort to understand, you really cannot appreciate from the United States the realities that most of the world lives with in their day-to-day struggles. Now, given that and given that those people do not vote, the United States is flying blind even if we are the most power country in the world, the technological leader with wealth and capacity to address these issues as no other country has ever had in the history in the world. And yet we have not decided yet, even until now, to get engaged with the intensity that would be necessary to provide part of the leadership that would be necessary.

Do you think that there is a chance of seeing this summit become a summit of reduced expectations? The United States might seek to turn it into a summit of small but more realistically applicable goals. Do you think this could be expected from this kind of administration?

I think the United States would like to talk in those terms, but if the goals are small then they are not realistic. So, I do not personally believe in small realistic goals. I believe that we face huge problems, and therefore we need large and realistic goals. So it takes imagination and commitment to get some action. It takes immediate action, but not in the sense that we are going to solve all of the problems overnight. It takes the decision to face the global-scale problems at a global scale, and that we have not done. We have believed that our main issues are essentially traditional foreign-policy issues of military security, of diplomacy, of perhaps governance in other countries, but not the great bio-physical challenges of having now a world society of 6.2 billion-interconnected, growing to eight to nine billion people in the next half century. We need to find ways for all of us to have the chance for prosperity and peace when the stresses are in front of our eyes and are not pure hypotheticals but are the actual facts of daily life of most of humanity. It is common to say in the United States, among those with their eyes open, if we are not careful we are going to have an emergent virus that could sweep the world. And I say we have an emergent virus, we have AIDS, and it has already infected more than 60 million people. It is the largest pandemic in world history. We do not have to talk about hypotheticals. We just have to talk about the fact that we have, for 21 years now, been living through a pandemic of the most ferocious proportions while doing almost nothing outside our borders to this moment.

What would it take for any global body to become convinced that an epidemic like AIDS needs to be tackled? What would it take to go against companies whose very interests are actually served by the spread of the virus?

Pharmaceutical companies are not the problem right now. They are not the missing piece. The missing piece is quite simply the scale of help from wealthy countries in the context where the epidemic is ravaging the world's poorest places. That is the basic problem right now. If you look at the situation on the ground, as I recently did in Malawi, where the country is being torn to pieces by AIDS, hunger, drought, environmental stress, where the average income is about 60 cents per day, $200 per year. Villages have become mass orphanages because the working-age population is left to die because they do not have the access to the life-saving drugs and where we are, to this moment, telling the government: Do not ask for so much help; it is not really available. We would like you to start really slowly and realistically--small goals, "realistic" quote-unquote--and just do not get upset with your problems. We will help you get treatment for a few thousand people for treatment. Which is what they are literally being told, when they have millions of HIV-infected people in a pandemic of rising ferocity in the midst of a more general ecological crisis. The [US] administration was a founder of the fund, but then turned around and asked American people to contribute 70 cents per American per year in fiscal 2003. So we say this is a great problem and then the sacrifice that we ask ourselves is 70 cents from each of us. Two hundred million dollars. That is called getting the scale wrong. That is getting the order of magnitude wrong. It is simply a misunderstanding, for whatever reason, of the real problem that we face. I have pleaded with the administration, the White House, the Secretary of the Treasury, Secretary of Health and Human Services, Secretary Powell to formulate a plan of action. To write down on a piece of paper what they think it would take to actually address this, rather than putting a finger up in the air and finding which way the wind is blowing. There is no plan of action inside the United States government. I know that absolutely for a fact.

How do you know?

I will give you a "for instance," but I could tell you from 10 different directions. I testified a couple of months ago in the Senate's Foreign Relations Committee. I was preceded by the USAID chief staffer in charge of HIV/AIDS, Dr. Anne Peterson. A professional, I have no doubt. This is not a personal observation; this is a systemic failure that I am talking about. She was asked by Senator Feingold, What is the US policy on treatment since the US to this day has not given, through our aid program, a single penny--a single pill, I should say--in an impoverished country to get a single day of anti-retroviral treatment? She said, Senator, we are starting some programs this year. He said that is very good, I am happy to hear it. Now I want to ask you how much would it cost to actually scale up such coverage for the whole country? She said that is a very interesting question, Senator, but we have never addressed that question. I followed by observing, since I was the next to testify, that it was a shocking testimony to the systematic neglect by the United States of this pandemic that, 21 years and more than 60 million people into the pandemic, there truly is no plan of action yet. Now I checked that out again with the White House, with NIH and with other leaders in the US government just last week because the issue arose again when the president announced another very modest step with great fanfare, $500 million over several years, and I called around and said that is fine, but where is the blueprint? There is no blueprint, Professor Sachs. It is not just this issue. It is the concept of addressing issues like this at a scale that is more than a show or more than a placeholder or more than a feel-good measure, a scale that is commensurate with the challenge. We have not acted that way in the world for quite a long time. When Secretary Rumsfeld was asked about the assault on Tora Bora mountains in Afghanistan few months ago, and he was asked do we have enough troops going in, He said, I cannot be sure, but I will tell you one thing. We are going to send more and more until we get the job done. You can be sure of that. We do not here that kind of approach to any of the problems that Johannesburg is going to address. All we hear is placeholder solutions--a few cents spent on this problem and 70 cents per American on that problem--but nobody in the US government can present you with a plan of action to address health pandemics that are killing millions this year in the poorest countries, to assess the increase in water stress and environmental degradation that is hitting large parts of the planet and, as we know, to address long-term climate-change issues where there has been a consorted desire to avoid formulating such a plan of action.

What are likely to be the consequence of 9/11?

I think the 9/11 tragedy and shock may turn out to be an alarm bell which actually changes things in a positive direction, from the point of view of our alertness as a nation, to the kind of world that we are living in. I believe we will use the proverbial expression of "sleepwalking through history" for the last 20 years on a lot of issues. Nine/11 was a shock of the first order, but it is not a surprise of the first order. I published two papers in the summer of 2001 saying this interconnected world that we live in, with the amount of state failure and state collapse, is absolutely prone to the spread of terrorist risks to the United States, not to mention health risks and other risks. By nature, being in an interconnected world, we are going to find that there is no a part of the world that cannot come back and haunt us in a serious way. I was arguing that these are not humanitarian issues alone. These are issues of first-order security for the American people, and I think that they would really like to know that they are being addressed. And we seem to have the capacity to mobilize a tremendous amount of resources in short order within our own borders. We have a really hard time understanding that the risks are coming from the outside. We responded to bioterrorism threats with billions of dollars newly appropriated, but we have not really responded to the real public-health risks in the world in a sound way at all. We barely assessed them. So, anthrax triggered tremendous responses because we cannot move. But AIDS triggered a shadow of the same response, even thought anthrax killed a handful of people and AIDS has already killed 25 million people and it is on its way to killing 40 millions more. And that is supposedly not a crisis.

What do you think the World Summit can do in helping to address these problems that you described that are very threatening? What can the summit do to get some action moving?

When the Secretary General convened his top advisers in spring and early summer to discuss the summit and what could be achieved, and when he outlined these areas of primary focus--the ones that I mentioned before: water, energy, agriculture, health and biodiversity--I rather hoped that I would discover, thank goodness, given the immensity of the problems, the fact that we have known about them for quite a long time and their seriousness, that we would quickly be delivered with that plan of action. But I have learned, as the chairman of the commission for the World Health Organization in the last two years, that there was no such a plan of action for the global health crisis of AIDS, malaria, TB and other killer diseases, and I urge, as chair of a commission on microeconomics and health, that we get such a blueprint in place. When it came to energy or water or other areas, I hoped of course that work had be done and that we could use the remaining months before Johannesburg to help get commitments to the implementation of these plans. What I have found is such plans do not exist and there is no global-scale plan for any of these. There are lots of treaties. Many of these extremely good and well thought-out. There are thousands of pages of text from Agenda 21 at Rio onward. And these are solid, scientifically sound serious pieces of work. So I am not bemoaning the level of analysis, but they are not operational plans of action that say, Here is how we get from here to the next step to the next step and here is how we pay for it. Because, the truth be told, things in this world. And this is often the bottom line. It is not the only part of the story, but it is the major part of the story. I have found to my own satisfaction that despite wonderful scientific knowledge, great breakthroughs in understanding, communities of the most serious and committed people all over the world, good intentions, there really are no operational plans of action at a global scale in these areas. There is no time to put such a fully elaborated plans of action into place in Johannesburg. So, what can happen at Johannesburg is a decision to make and implement such a plan of action by creating at least framework initiatives in these critical areas. We need global-scale initiatives in those areas--with funding mechanisms, with operational and scientific review, and especially with ways to link the global goals and global finance with local initiatives and local needs. This is operationally one of the hardest and most challenging parts of actually solving these problems. Impoverished communities that will have to take care of their own forestry but cannnot do it on their own right now--and somehow we need to make the reach from the global objective of protecting the forest ecosystems, from global finance where the US and other rich countries can mobilize real support, down to the village in Antroprodesh, where the community council is going to be charged with the healthy and sustained management of its local forestry resources. These are possible to do because we have many examples of success, but not in general in places which have been relative low-cost and, in general, where a donor or private-public partnership has come along to push the agenda. So we have been able to do this when it comes to polio eradication, because Rotary International cannot be in the cause at a global scale. They did not say, Let's get polio down at bit in some places. They said, Let's eradicate polio and get in control of African river blindness. Merck had a product which it was ready to donate, WHO and the World Bank were ready to be partners, and this was an operation taken to scale. Jimmy Carter helped to champion a large partnership to address this. These are the examples of how you reach from the global down to the local at a scale to really address the problem. The proof of principle, in a way what a mathematician would call a constructive existence proof, you can do these things. But we do not have it in the many areas that Johannesburg needs to focus on right now.

Are such conferences really useful?

Two points. Since Rio 10 years ago, there has been a continuum of conferences, all of which fall under the rubric of sustainable development. Each of them came up with a plan or a program of action. Each of those conferences suggested, if not a way out, some way to tackle the fundamental issues, and those conferences clarified what the problems were. Secondly, those conferences came up with an X dollar figure that it would take. The problem seems to be that the donor countries seem extremely dubious about what came out of those conferences. At some level they would say there is not really this kind of money available or, even if it were, how do we know that it is going to be managed well? The food security crisis is a good example of mismanagement. So therefore, people are actually turning to Jeffrey Sachs at Johannesburg to be that one clear voice to untangle this mess. So how are you going to be at Johannesburg and basically say to them, Boys and girls, your hearts may be in the right places but your hands are not or your wallets are not. Given what has been already achieved, are we talking about starting from ground zero here or do you want them to develop a new course of action and this is what is going to have to be? They are really looking to you for a realistic way out of this mess.

But can the participants help make a difference?

I personally think that these international meetings have incredible merit. In recent months I had occasion to go back and read a voluminous amount of material from these earlier summits. First, a lot is known about these problems. So I do not want to be misunderstood that we have to re-invent approaches. A lot is known. The goals that were adopted at these summits are bold and appropriate. The general lines of recommended action are wise, in my view. One can quibble on the margin. One can even argue within the margins in some cases. These have been serious endeavors by a lot of serious people around the world, but they have not led to implemented actions or even to the stage of real plans of action. Now, why is that? Up until very recently we have lived in a period in which the dominant philosophy of the dominant power, the United States, is that if there are problems, the problems are basically bad governance by the poor. They want to get out of their poverty, let them govern themselves better. And so governance became the code word for our era and structural adjustment became the phrase for how to implement improved governance. Good governance counts a lot. There is no question about it, but it also can become an excuse when it is taken to extremes, as it was in the past 20 years. Not as a diagnosis of part of the problem, but as a way to blame the poor for their suffering, and to absolve the rich from any role in overcoming those problems. And we went too far in these ideas that problems are all remediable through self-help actions whether is belt tightening or privatizing the next sugar mill or some other recommendation that would come from the IMF or the World Bank. That era has ended. It failed. It did not produce results. It ended Sept. 11 also in terms of the concepts in the United states when at least the wake-up call said the world is too dangerous to go on drifting as if we can live well enough alone and the problems of the poor world, if really not being solved, are not our problems anyway. So it failed as a socioeconomic approach and it failed as a foreign-policy approach of the United States. That is why we actually get a turn to something different in Monterrey, when the United States announced for the first time in a generation an increase in foreign assistance. But of course it is not enough. It is still a finger in the air. What will the local political traffic bear? How much can we ask for after a generation of cuts in foreign aid? How much can we ask for and, in a sense, get away with it? Not what it is really going to take to address these problems. So I think we have a chance now to rethink the issues, not by throwing out 10 years of summits, certainly not by mocking those summits, as is being done with great frequency in the capitals of the major cities. It happened again last month when the World Food Summit ended as a debacle, actually because the rich countries did not show up and many of the rich countries laughed at the summit as if this was some pitiful display of poor countries or of the United Nations, rather than a reflection of their own lack of viable leadership on this issue. If these summits did not produce, well they have a lot to share in our failure to move to real progress on these issues. I think that we need therefore to take the best of what has happened, to understand that the goals that have been set are the very goals that we are living with in the world, that there are no others to replace them. These are the Millennium Goals that we as a world community have repeatedly endorsed, but we have not backed up with the kinds of systematic and scaled actions that will be needed. I think that it is overwhelmingly reflected in the evidence and I do not think that there is any other way. But for the mobilization of the US leadership, together with Europe and Japan and other rich countries, to say, Yes, we are not going to mock these meeting. We are going to get behind them to make sure that they are successful, because the stakes for us are too vast to stand on the sidelines and watch a continuing downward slide.

What will turn the tide?

Two things are going to turn the tide. Of course, I am an optimists, but I actually believe in actual discourse to problems like this and rational solutions. What I see are two overwhelming facts which are simply not understood. First, the cost of addressing these problems is extraordinarily modest, both relative to our means in the rich world and relative to our stakes. And this is simply not understood. Second, the means to approach these problems are known, but because of a lack of a systematic will to solve them, there has not been the synthesis of approach which is ready for us to grab. Let me illustrate this. On the question of foreign assistance and the scale of the cost, we are living in a house of mirrors and we have to find a way out of it. There are so many distortions about this issue and sometimes you just feel paralyzed as in those crazy houses where you cannot get to the next hallway. Americans believe we are giving vast amounts of aid, when we are not. Most people in the rich world think that the cost of solving these problems is so vast that if we start down the road we are never going to get out of this, when in fact the real costs are extraordinarily modest compared to our wealth. We have grown up and evolved, I am convinced, in a mindset where our capacity to cooperate is deeply hampered by our struggle for our own survival. So we do not easily share food. We do not easily share our beneficence. We are programmed to survive first or to share food with our kin, but it is extremely hard for us to get cooperation that crosses a town, a state, much less a continent or the hemisphere, or with another race or ethnic group. I do believe that there is a fundamental lag in our cultural understanding of how rich we are because I still observe us as fighting for every morsel when we have more than enough for ourselves and more than enough capacity to share with others, but we are so programmed to struggle.

Can you give some instances of meaningful interventions?

Within our commission at WHO we did the most systematic costing of the essential life-saving health interventions that the developing world needs and asked very hard-headed questions of who can pay, who could not pay, what is the gap of those who have needs but cannot pay on their own. We have arrived at a realization that the poorest people in the world cannot afford their own life-saving health interventions. They are simply too poor to pay for the doctors, the nurses, the medicines out of their own resources, no matter how well they are governed. It is not a matter of good governance, it is a question of extreme impoverishment. When we added up the price tag, we found that to close the gap on 41 life-saving essential health services, that would save around eight million people per year from death, 20 thousand people per day, that would cost the rich world one penny out of every $10 of our annual income. One needs about $25 billion per year to close that gap. That may sound a lot of money until you realize we are $25 trillion rich-world economy right now. That is the GNP of the donor world. So if we set aside only one penny out of $10, not only can we fight the AIDS pandemic and win, but we could triumph over malaria, we could make absolutely dramatic breakthroughs in the control of tuberculosis, we could ensure children being vaccinated, we could get diarrheal and the acute respiratory infections under control. We could save a substantial proportion of the 500,000 mothers every year who die in childbirth because they do not have access to skilled attendants. So we could do marvelous, thrilling things at a cost of one penny out of every $10. Of course, from the perspective of the poor, it is any way that resources can come. In terms of practice there is no doubt that the bulk of this has to come from the public sector. The private sector has a very important role to play as partner, but not as philanthropy on the scale of $25 billion a year. And they have a role to play in ensuring that their wonderful technologies are actually available to the poor. They have a role to play in making sure that their anti-viral drugs are available at the cost of production, not at the patent-protected prices. I do not think we want to turn the corporate world into a corporate philanthropy. There is a role for corporate philanthropy, but that is not the solution to these problems. That is part of the solution, but not the real way to get a sustained, scaled approach to the problems. If you go from health to water, to agricultural productivity to biodiversity preservation, you can find working models under a similar approach where help is targeted at the poorest of the poor who cannot afford it out of their own resources, where science is mobilized, where global corporations are partners in the delivery of new technologies that can make breakthroughs to address these problems in the same way. That is what I have been examining over a number of years for the Secretary General in a project that I am directing for him--not in time for Johannesburg, but our millennium project under the Secretary General's lead is specifically devoted to following through, as in the health study, in the other global dimensions of need, to ask systematically what can be done, where, how, with what priorities, and with what financing mechanisms. But a preliminary look tells us something very basic. We may need $50 billion a year more. You could perhaps need $75 billion a year more, but as a $25 trillion rich-world economy, we are talking about sums that are considerably below 1 percent of our income. I would guess below the 0.7 percent of our income that has long been pledged to addressing these problems. So we are talking about very modest sums. Interesting to remember why that is, by the way. First, the rich world is so rich now that we live at a measure of material well-being that was unimaginable even a generation ago and certainly unimaginable, we think, back a few decades. We have made it. This is a great triumph of science, technology, market economy and democracy. This is a wonderful triumph. But we are still feeling that evolutionarily built-in desperation that we have got to fight our neighbor, that we have got to fight the other side of the world to protect our own. We do not, because we are not living on the edge by any means. That is number one. Secondly, the poor are so incredibly poor that a modest amount from us makes a huge proportionate difference for them. And third and very important--and not understood by the anti-globalization movement--a very significant part of the developing world is achieving economic progress right now. We do not have to save China from starvation or from material disaster. China is making it. It is saving itself. India is making tremendous progress. It is achieving sustained economic growth at a significant rate. I believe it could achieve it at an even faster rate and I am trying to help in that. It is achieving tremendous progress. In other words, the proportion of the world that is most urgently in need, where they cannot address the problems on their own, has been the shrinking proportion of the world.

Where is Africa right now and what is the difference that made China and India able to move forward?

Development is very complex, so there is not ever a single factor to explain success or failure. There are historical, geographic, cultural and many other phenomena at play. When I look at the difference between Korea and Ghana, where it is famously told that they were at nearly similar levels in the 1960s, I know that Korea never had to grapple with the endemic malaria problem that Ghana did and that has been the killer in Ghana for thousands of years and a major barrier to economic development. I know that Korea had the great benefit of being a short shipping distance from Japan. And because Korea was under the US strategic umbrella and had tremendous access to our markets, had tremendous benefit of US and Japanese technology, it therefore had a leg up in being able to move forward. Ghana had none of those because it was far away. It was the whole sub-Saharan desert away. It was under nobody's strategic umbrella. Nobody cared, basically. It was close to no major market. It faced trade discrimination of an intense variety where it was allowed to export its cocoa beans to Europe but not its finished chocolate. The finished chocolate was to be produced by Switzerland--can you imagine: the most tropical product in the world being produced by one of the Alpine economies of the world? That is because of the trade distortions. Not the natural course of things. If you have to pay 27 percent duties on finished chocolate exported from Ghana to Europe, you are going to make it with the beans that come in duty free and with the chocolate that is produced behind the tariff barrier. And you think, Why isn't Ghana making the T-shirts that were the stepping stone for Korea? Because the barriers to trade were intense.

Is that the only reason?

Often there is no simple explanation. There are usually many explanations and many pieces of the story, so one needs to take a serious look right now and ask what measures could help poor Ghana, given that Ghana faces the AIDS pandemic, given that Ghana faces the malaria now, given that Ghana is living in a globalized economy where its doctors are leaving by thousands because they are attracted by higher wages elsewhere. Given the climatic and other ecological problems that Ghana faces. In that context, what should we do? You might decide after serious analysis that, Well, yes. Ghana too can make it on its own. When I looked at the issue, I reached the conclusion that Ghana may need significant help and that the pretense that it can make it on its own is one of the reasons why Ghana has had such a difficult time in the last 20 years, making that breakthrough to high rates of economic development. It needs help in market access. It needs help with technology. It needs help with disease control. It needs help on the ecological front. None of it is impossible. None of it is of huge cost to any of us if properly done. But it requires a plan of action, a mechanism of funding, a strategy, and a partnership with Ghana to make it happen.

You made such a reputation at Harvard through the Harvard Institute for Development that a number of people were surprised when you made the change to Columbia. The Earth Institute itself suggests kind of a green institute, but clearly, given your own reputation, you intend to make it so much more than ecology and environment. As you take over the institute, can you tell us what your expectations are, what your leadership is likely to be, and the framework of your general thinking on sustainable economic growth for the world economy? How do you expect the Earth Institute to play a role of leadership?

I feel like I am the luckiest man so I could not be more thrilled to be coming to Colombia and combining that with my position as special adviser for the Secretary General for the Millennium Development Goals. I see both activities, the Earth Institute and the United Nations role, as the most amazing chance to pursue the goals of sustainable development in the truest, deepest and interconnected way. Sustainability and development together.

Addressing the urgent needs of the poor, but doing it in a way which bequeaths to future generations a planet and living conditions that meet our aspirations. The Earth Institute is a unique institution in American academia--I would venture to say in the world community right now. Colombia has assembled remarkable institutions, all interconnected and all focusing on different aspects of the Earth's systems. So, there is Lamont-Doherty Earth Observatory, which is now a decades-old world leader in the physical Earth environment, from seismology to plate tectonics to ocean systems. There is the International Research Institute on Climate Predictions, which is making use of the scientific advances in forecasting the El Niño to try to give help to all of those impoverished places in the tropics that are so heavily impacted by these climatic cycles. There is the Goddard Institute on Space Studies, which is NASA's only urban-based institute, right on 100th street and Broadway, which is one of the world's leading modelers of long-term climate change, headed by Jim Henson, a world renowned scientist in climate change. And there are many more I should add. One other that is critically important is the Center for Environmental Research and Conservation, which is an amazing consortium, which brings together Colombia University, the New York Botanical Gardens, the American Museum of Natural History, the Conservancy Trust and other institutions of this city into an incredible amount of knowledge and operation on ecosystem functioning, genetic diversity on a global scale and biodiversity science and preservation.

What purpose will your presence fulfill?

It is just an amazing thing for me to sit at the feet of these masters and soak up as much knowledge as I can, but I am also being brought in for a purpose, and that is to help bring into the mix economic development and what I call the human ecology side of the equation, which is how humans relate to their physical environment. How does the physical environment help shape the economic dynamics, whether success or failure? I have made a big theme of this in my own research in recent years. The difference of economic performance between temperate and tropical zones, where it is quite clear that the tropical diseases such as malaria or the problems of humid tropical agriculture--where you have long dry seasons, drought and other threats to agriculture--pose problems that we just do not face in the temperate world. So I am hoping to tie together four different thematic areas: the physical sciences, the biophysical sciences, the engineering capacities--which are remarkable at Columbia--and the human ecology dimension, both the economic development issues and poverty alleviation issues and the public health issues, which have also been a big focus of my own attention and where I am partnering with the Mailman School of Public Health to create a new institution as part of this overall Earth Institute. If you take that tremendous scientific capacity and research capacity and outreach capacity of the Earth Institute, which I do believe is unique in the world, and connect it with the ambitions of the United Nations to help propose and put forward workable solutions on a global scale for these problems, I think that it is a combination that simply is unmatched anywhere in the world. And when these two invitations came nearly simultaneously, the truth be told, when I came down to speak with Columbia, after the first hour of discussion I said if all of this checks out--the story you are telling me--I am on my way over here. You do not have to do anymore convincing. And that is what I told them, that I wanted to make that work because it was so thrilling--all of these pieces. In terms of the agenda, let me just add a couple of dots. First, as a university institution in the service of not only the university but the world, I think that all of the institute ties together three functions. Most importantly I would say is the scientific research, because if you do not know what you are doing it is hard to do anything else that is useful. Second is the teaching and training of our students and our policy makers, leaders and many other groups. It is absolutely a teaching facility with three PhD programs and one more to be added, by linking departments in the university in this grand mix. And third is the outreach. The idea that science and technology and ideas can be brought to bear for the good of humanity. And I must say a lot of universities are shy about that. You know, if we do any good, it is kind of a spillover from our research and teaching. But Columbia is not shy about it at all. Columbia says that the university as a social institution has a social function that is fundamental, and I have to say that this view of the university is actually a very deeply ingrained view of America and American universities from the land-grant colleges to the establishment of MIT to others. These are not, despite the image, ivory-tower institutions. That has never been the American tradition. And Columbia, I think ,is putting forward a proposition in a very bold and grand way deeply steeped in our national tradition that the university is to help get service to the world, not only through research and teaching but for what it can mean for the broader human community.

How do we proceed?

In every area that we have discussed today, whether is health or access of the poor to water or protection of the ecosystems, we already know a tremendous amount about what to do and we already can think through pragmatic yet bold solutions to the problem. In every area we know a lot about what needs to be done and what can be done. It is also true in every area. We need to bring new science. We need to find more effective approaches to malaria control. Maybe a vaccine against malaria, which looks scientifically promising. A vaccine against AIDS. We need to understand ecosystem functioning, because, as our biologists tell us, we have perhaps mapped one tenth, if not much less, of the world's species, so we do not really understand how some of our critical ecosystems even function. We need fundamentally new approaches to energy use if we are going to be able to run modern societies with all their benefit, yet at the same time not simply succumb to the profound uncertainties and risks of man-made climate change through our current ways of using fossil fuels. For all of this there is both an organizational, political and economic set of issues as well as basic scientific and technological issues, and the Earth Institute also brings together this incredible mix of basic scientists, the engineering and the social sciences and the policy approaches, which give us this chance of creating a more holistic and therefore more effective framework for action.

When you were at Harvard you were involved in the development efforts of the newly emerging states of the Eastern Europe--not just to patch up economies but to give them the shot of dynamism. Is that going to be doing more of that at Columbia Is there an effort to put Columbia on the geopolitical map at a time of increasing globalization?

I will certainly be continuing my efforts at Columbia. I came to understand, not immediately but over the course of the two last decades, that in a sense what I was doing, among many others, is trying to find ways to make globalization work. As I went to different parts of the world and advised different leaders in those regions, they were all grappling with the basic problem of how do we relate to the world, how should be trade with the world, how do we relate to the global financial system, how do we relate to the global ecosystem--question that come up, of course, with more and more urgency. So I found that even though I may be working in places 12 thousand miles apart and in different ecological zones, and in different hemispheres, the kinds of questions that were posed from these societies were similar because they were all joining the same world. And given the crucial and unsolved and still unresolved nature of that struggle to build a globalization that works, I am certainly myself utterly engaged with large number of countries around the world in that process and I will continue to do that because that is my life's work as I come to Columbia. The Chinese government is looking to us for ideas on certain critical aspects of their development. I will be spending much of August before Johannesburg in southwest China trying to understand the specific challenges of what China calls the western development problem because the coast is dynamics but the interior is much less so. That is the standard phenomenon of economic development, but they have asked me to have a look and give them some strategic ideas. I have been in continuous and intensive dialogue with the Indian government and with state governments in India for many years, and I certainly find that incredibly rewarding and I hope that the Indians do also on their side--but they continue to call and I continue to be grateful for that. Many African governments have been calling frequently, especially with the health crisis, but more broadly right now with the hunger crisis in southern Africa and with basic ideas about economic development. I will be meeting with a number of African leaders to talk about some strategic approaches to more sustained economic development on the continent. The Indian countries are working with a program--that I began at Harvard and which will come to Columbia--on the special issues of Indian development. I have learned over the years that mountain environments in general have very specific problems in terms of ecology, transport cost, often the mix of populations, ethnicities, the politics of inland versus coastal regions. So I have been working with the Indian government for a couple of years because that is one of the crisis regions in the world. That is the development hotspot where there has not been the kind of sustained economic development that one hopes for, and that work will certainly come to Columbia. So, all in all, I cannot imagine a better place to do all of that--with the United Nations, with the Council on Foreign Relations down the block, I think the capacity to engage with these governments in a very rich and fruitful dialogue and research program and often advisory role will certainly be at the center of my activities here.

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