from the world's big
The Findings of the Empire and Democracy Project
LeapFrog is the world’s first investment fund to focus on the insurance needs of low-income and financially excluded people. Launched by President Clinton and hailed by The Wall Street Journal and Private Equity International, LeapFrog has opened a new frontier for social investment and microfinance. Andy founded LeapFrog in January 2007, inspired by his extensive experience enabling entrepreneurs in emerging markets, and then co-built the firm with a team of former CEOs and pioneers in emerging markets insurance. Andy is a former Managing Director of Ashoka, which has financed and connected 2000 social entrepreneurs in over 60 countries. He worked with both Grameen and BRAC, the world's largest microfinance institutions, to market their social ventures. He also co-founded Kuper Research, which designed The Daily Sun, now sub-Saharan Africa's largest newspaper, with 5 million daily readers. Born and raised in South Africa, Andy is a serial social entrepreneur and author of books including Democracy Beyond Borders (Oxford) and Global Responsibilities (Routledge). He holds a PhD from Cambridge, where he was supervised by Nobel laureate Amartya Sen, who first stimulated Andy’s interest in market-based solutions to poverty.
Question: What were the key findings of the Empire and Democracy Project?
Andrew Kuper: What we found was that unilateral attempts to promote democracy and of course retrospectively this is proof true are generally ineffective. That it requires not only multilateral stakeholders at the global level but really a multilevel approach that starts from the grass roots right up to the grass tips. I had written my PhD on democracy, promotion and restructuring democracy globally called, “Democracy Beyond Borders,” eventually and what the fundamental insight there is that globally we need a balance of power so that people check and balance one another, we’re not going to be able to have global elections and the like but as you’ll notice within states, one of the profound mechanisms for maintaining democracy and promoting diversity of voices and accountability is the division of powers between the legislature, the executive and the judiciary. And what I had tried to show was that you could have a similar balancing of powers at a global level between nonprofit states, corporations, local communities and so on. And that we needed to think much more in terms of this multilayered approach to governance and multi stakeholder approach to governance.
Now, what the Empire and Democracy Project did was it took it to a new level, we worked with Joseph Stiglitz, Mary Robinson, Sakiko Fukuda-Parr, Richard Goldstein, Aryeh Neier [IB] in this field talking about their particular areas of expertise and trying to bring those together.
So, Joseph Stiglitz looking at what kind of economic mechanisms within countries would promote democracy and so forth. And we came to a number of interesting conclusions, I would say the most important among them and this is interesting in the year of Obama is that you do have to do it all at once.
You can’t simply say, “Oh, we’ll do it militarily or we’ll do it economically,” and people who are reductionists in that way, I think, has a very implausible view of how you truly build democracy.
I’m South-African and I can tell you from both from just pre the end of apartheid period and the post apartheid period, it’s been absolutely central that there’d be all sorts of development in the media, in government, in the legislative and executive branch in the judiciary across all this different levels.
And that’s part of the success of the new democracy that is South-African, if you look at other successful democracies, that’s also the case. So the major lesson is avoid reductionism, use multiple stakeholders and not just on different levels but of different types that are able to check and balance one another.
Question: Should the U.S. be aggressively promoting democracy?
Andrew Kuper: I think there’s a very big distinction between promoting democracy and imposing democracy. I’m deeply skeptical of Asian autocrats or African or Latin American or for that matter, anywhere else who say, “I know the will of the people,” and when someone tries to encourage woman to have the vote or trust to create a scenario where people can speak out their infringing on our values. I think that’s profoundly implausible because you’re infringing on the autocrat’s values, you don’t even know what the people’s values are at that point.
So to be clear, what I’m suggesting is that we promote democracy.
Promoting democracy involves giving people a voice, it doesn’t involve arriving with your own system and telling them what to vote for, it involves encouraging the creating of systems that allow for people to be heard, to elect their own representatives, and to have those representatives be held accountable for when they fail.
And let me tell you a few reasons why this is so important, never mind if things go fantastically, let’s talk about if things go very badly, what [IB], who was my PhD supervisor, his study show is that there has not been mass famines in democracies, there has been mass famines in autocracies. So while you do have long nourishment and terrible situations in India the reality is since it became a democracy, you have not had a mass famine. In China, you have a series of famines over the years and in several other countries that are autocratic countries, now why is that? Well, it’s quite a simple and intuitively plausible reason, where millions of people are starving, that democratic leaders tend to get voted out, they failed in a profound way and they will be replaced by someone who tries to take action on this desperately or they will be thrown out, that is not the case with an autocrat.
The autocrats, the people starve, it makes them less effective at protesting, they’re hungry often, it makes them less able often to take action, sure it sometimes leads to them to take action but fundamentally the autocrat looks to the military to support them. Now, those are two very different systems so if you want. Democracy doesn’t secure all the best things in the world but what it does help you protect against is the worst and it does give people a voice.
Recorded on: May 1, 2009
The president of LeapFrog Investments talks about the right ways to promote democracy worldwide.
Sallie Krawcheck and Bob Kulhan will be talking money, jobs, and how the pandemic will disproportionally affect women's finances.
Vaccines find more success in development than any other kind of drug, but have been relatively neglected in recent decades.
Vaccines are more likely to get through clinical trials than any other type of drug — but have been given relatively little pharmaceutical industry support during the last two decades, according to a new study by MIT scholars.
An article in Journal of Bioethical Inquiry raises questions about the goal of these advocacy groups.
- Two-thirds of American consumer advocacy groups are funded by pharmaceutical companies.
- The authors of an article in Journal of Bioethical Inquiry say this compromises their advocacy.
- Groups like the National Alliance on Mental Illness act more like lobbyists than patient advocates.
The Corruption That Brought Prozac to Market — Robert Whitaker, Journalist<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="bea9cff2b25efc18b663a011a679ba16"><iframe type="lazy-iframe" data-runner-src="https://www.youtube.com/embed/UyaJExxFPAE?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span><p>Consumer-oriented groups gained steam over the ensuing decades. Their efforts helped inspire the 1938 Food, Drug, and Cosmetic Act after over 100 people (mostly children) died from a sanctioned drug, Sulfanilamide. If not for the hard work of these advocates, this case might have been overlooked.</p><p>Early efforts also focused on the food industry, which was increasingly using chemical preservatives. The origin of Consumer Reports can be found in the consumer advocacy movement. Both the food and drug industries were getting a free pass to experiment on citizens with few repercussions.</p><p>These movements provided a social foundation for important advocacy work in the second half of the century. Female-led groups evolved to focus on women's reproductive rights, AIDS, and mental health. As the authors write, these groups struck a balance between working <em>with</em> and <em>against</em> current trends. Sometimes you need to craft legislation with officials; at other times, you have to rage against the machine with everything you've got. </p><p>Advocacy marked an important turning point in public health (and culture in general). These groups were tired of placating to a medical model that treated the male body as the standard. This wasn't limited to anatomy. As I <a href="https://bigthink.com/coronavirus/pandemic-warnings-rp-eddy" target="_self">wrote about last week</a>, a high-profile 1970s-era conference about the role of women on Wall St featured no women on stage. You can imagine what reproductive health looked like during that time. </p><p>Advocacy groups made real impact in public health. Then the money began pouring in. </p><p style="margin-left: 20px;">"These groups were funded largely by individual donations with some foundation support, but in the late 1980s, newer women's health groups moved to professionalize, effectively splitting the women's health movement."</p><p>A number of groups resist corporate ties to this day, such as the National Women's Heath Network and Breast Cancer Action. Too often, however, groups argue that their existence depends on corporate funding. This can lead to uncomfortable compromises. </p><p>An estimated two-thirds of patient advocacy groups in America accept funds from the pharmaceutical industry. Pharma companies gave <a href="https://link.springer.com/content/pdf/10.1007/s11673-019-09956-8.pdf" target="_blank">at least $116 million</a> to such groups in 2015 alone.</p><p>For example, over a three-year period, the National Alliance on Mental Illness (NAMI), which was founded by two mothers whose sons suffered from schizophrenia, received nearly $12 million from 18 pharmaceutical companies. The largest donor was Prozac manufacturer, Eli Lilly. By 2008, three-quarters of NAMI's budget was funded by the pharmaceutical industry. It gets worse:</p><p style="margin-left: 20px;">"An Eli Lilly executive was even 'on loan' to NAMI, paid by Eli Lilly, while he worked out of the NAMI office on 'strategic planning.'"</p>
A customer waiting for his medication at the Headache Bar in a pharmacy in Sydney, Australia. Among the items on sale are 'Paigees with Chlorophyll' and Alka Seltzer on tap.
Photo by Dennis Rowe/BIPs/Getty Images<p>This influx of cash skews public understanding of drugs. It also influences advocates to overlook real problems caused by pharmaceutical interventions, especially when it comes to mental health.<br></p><p>For a real-world example, consider how Xanax came to market. As journalist Robert Whitaker <a href="https://www.youtube.com/watch?v=2e829xdb4AA" target="_blank">explains</a>, an <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1463502/?page=1" target="_blank">initial study</a> was conducted to determine efficacy in treating panic attacks. After four weeks, Xanax was outperforming placebo, which is common with benzodiazepines over short-term usage. But it wasn't a four-week study; it was a 14-week study.</p><p>At the end of eight weeks, there was no difference in efficacy between Xanax and placebo.</p><p>At the conclusion of the study after 14 weeks, the placebo outperformed Xanax. By a lot.</p><p>Why is Xanax still prescribed for panic attacks? Because the pharmaceutical company, Upjohn, only published the four-week data. The 14-week data was not in its favor. Nearly forty years later, over <a href="https://www.statista.com/statistics/781816/alprazolam-sodium-prescriptions-number-in-the-us/" target="_blank">25 million</a> Americans receive a prescription despite its <a href="https://drugabuse.com/xanax/effects-use/" target="_blank">long list</a> of side effects and addictive profile. </p><p>As the authors note, many consumers are not aware of how advocacy groups are funded.</p><p style="margin-left: 20px;">"An international study of groups in the United States, United Kingdom, Australia, Canada, and South Africa found that the extent of relationships with industry was inadequately disclosed in websites that addressed ten health conditions: cancer, heart disease, diabetes, asthma, cystic fibrosis, epilepsy, depression, Parkinson's disease, osteoporosis, and rheumatoid arthritis."</p><p>That's a tangled web of relationships. Pharmaceutical industry funding negatively impacts the work advocacy groups should be focused on: protecting us. NAMI, for example, claims that as a "natural ally" to the pharmaceutical industry, it helps consumers access "all scientifically proven treatments." When the industry ignores evidence of long-term damage caused by its treatments, you have to wonder what's being advocated. </p><p>Although, as the authors conclude, that question is easy to answer. </p><p style="margin-left: 20px;">"Instead of drawing insights from patient experience to set organizational agendas and challenge industry agendas, today's groups are silent on high prices and drug harms, oppose efforts to regulate these basic rights, and demand access to drugs that challenge the safety and effectiveness."</p><p><span></span>--</p><p><em>Stay in touch with Derek on <a href="http://www.twitter.com/derekberes" target="_blank">Twitter</a>, <a href="https://www.facebook.com/DerekBeresdotcom" target="_blank">Facebook</a> and <a href="https://derekberes.substack.com/" target="_blank">Substack</a>. His next book is</em> "<em>Hero's Dose: The Case For Psychedelics in Ritual and Therapy."</em></p>
Health officials in China reported that a man was infected with bubonic plague, the infectious disease that caused the Black Death.
- The case was reported in the city of Bayannur, which has issued a level-three plague prevention warning.
- Modern antibiotics can effectively treat bubonic plague, which spreads mainly by fleas.
- Chinese health officials are also monitoring a newly discovered type of swine flu that has the potential to develop into a pandemic virus.
Bacteria under microscope
needpix.com<p>Today, bubonic plague can be treated effectively with antibiotics.</p><p style="margin-left: 20px;">"Unlike in the 14th century, we now have an understanding of how this disease is transmitted," Dr. Shanthi Kappagoda, an infectious disease physician at Stanford Health Care, told <a href="https://www.healthline.com/health-news/seriously-dont-worry-about-the-plague#Heres-how-the-plague-spreads" target="_blank">Healthline</a>. "We know how to prevent it — avoid handling sick or dead animals in areas where there is transmission. We are also able to treat patients who are infected with effective antibiotics, and can give antibiotics to people who may have been exposed to the bacteria [and] prevent them [from] getting sick."</p>
This plague patient is displaying a swollen, ruptured inguinal lymph node, or buboe.
Centers for Disease Control and Prevention<p>Still, hundreds of people develop bubonic plague every year. In the U.S., a handful of cases occur annually, particularly in New Mexico, Arizona and Colorado, <a href="https://www.cdc.gov/plague/faq/index.html" target="_blank">where habitats allow the bacteria to spread more easily among wild rodent populations</a>. But these cases are very rare, mainly because you need to be in close contact with rodents in order to get infected. And though plague can spread from human to human, this <a href="https://www.healthline.com/health-news/seriously-dont-worry-about-the-plague#Heres-how-the-plague-spreads" target="_blank">only occurs with pneumonic plague</a>, and transmission is also rare.</p>
A new swine flu in China<p>Last week, researchers in China also reported another public health concern: a new virus that has "all the essential hallmarks" of a pandemic virus.<br></p><p>In a paper published in the <a href="https://www.pnas.org/content/early/2020/06/23/1921186117" target="_blank">Proceedings of the National Academy of Sciences</a>, researchers say the virus was discovered in pigs in China, and it descended from the H1N1 virus, commonly called "swine flu." That virus was able to transmit from human to human, and it killed an estimated 151,700 to 575,400 people worldwide from 2009 to 2010, according to the Centers for Disease Control and Prevention.</p>There's no evidence showing that the new virus can spread from person to person. But the researchers did find that 10 percent of swine workers had been infected by the virus, called G4 reassortant EA H1N1. This level of infectivity raises concerns, because it "greatly enhances the opportunity for virus adaptation in humans and raises concerns for the possible generation of pandemic viruses," the researchers wrote.
Want help raising your kids? Spend more time at church, says new study.
- Religious people tend to have more children than secular people, but why remains unknown.
- A new study suggests that the social circles provided by regular church going make raising kids easier.
- Conversely, having a large secular social group made women less likely to have children.