Author Discusses Adam Smith and Globalization | ![]() | |
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In the third installment in a series of conversations about the impact of globalization, author P.J. O’Rourke discusses the role of the teachings of Adam Smith in today’s economy. | ||
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February 20, 2007
AFETA, Ethiopia
They were two old men, one arriving by motorcade with bodyguards and the other groping blindly as he shuffled on a footpath with a stick, but for a moment the orbits of Jimmy Carter and Mekonnen Leka intersected on this remote battlefield in southern Ethiopia.
Mr. Mekonnen, who thinks he may be 78, is a patient in Mr. Carter’s war on river blindness. He is so blind that he rarely leaves the house any more, but on this occasion he staggered to the village clinic to get a treatment for the worms inside him.
His skin is mottled because the worms cause ferocious itching, especially when they become more active at night. He and other victims scratch until they are bloodied and their skin is partly worn away. Ultimately the worms travel to the eye, where they often destroy the victim’s sight.
Ethiopia has the largest proportion of blind people in the world, 1.2 percent, because of the combined effects of river blindness and trachoma. As in many African countries, the wrenching emblem of poverty is a tiny child leading a blind beggar by a stick.
As Mr. Mekonnen waited on a bench by the clinic, there was a flurry of activity, and an Ethiopian announced in the Amharic language that “a great elder” had arrived. Then Mr. Mekonnen heard voices speaking a foreign language and a clicking of cameras, and finally the whirlwind around Mr. Carter moved on.
“Do you know who that was?” I asked Mr. Mekonnen.
“I couldn’t see,” he replied.
“Have you ever heard of Jimmy Carter?”
“No.”
Yet in remote places like this, former President Carter, at 82, is leading a private war on disease that should inspire and shame President Bush and other world leaders into joining. It’s not just that Mr. Carter’s wars have been more successful than Mr. Bush’s; Mr. Carter is also rehabilitating the image of the U.S. abroad and transforming the lives of the world’s most wretched peoples. (Here’s a video of Mr. Carter’s trip.)
On the previous night, Mr. Mekonnen had slept under a mosquito net for the first time in his life, as part of a Carter initiative to wipe out malaria and elephantiasis in this region. And Mr. Mekonnen now uses an outhouse as a result of a Carter Center initiative to build 350,000 outhouses in rural Ethiopia to defeat blindness from trachoma.
Mr. Carter has almost managed to wipe out one horrific ailment — Guinea worm — and is making great strides against others, including river blindness and elephantiasis. In this area, people are taking an annual dose of a medicine called Mectizan — donated by Merck, which deserves huge credit — that prevents itching and blindness.
Mectizan also gets rid of intestinal worms, leaving Ethiopian villagers stronger and more able to work or attend school. Among adults, the deworming revives sex drive, so some people have named their children Mectizan.
Mr. Carter’s private campaign against the diseases of poverty, put together with pennies and duct tape, is a model of what our government could do. Imagine if the U.S. resolved that it would wipe out malaria and elephantiasis (both are spread by mosquitoes, so a combined campaign makes sense). What if we celebrated science not by trying to go to Mars but by extinguishing malaria? What if we tried to burnish America’s image abroad not only with press releases and propaganda broadcasts, but also with a bold campaign against disease?
So I wish that President Bush could visit villages like this and see what Mr. Carter has accomplished as a private individual. Mr. Bush, to his great credit, has financed a major campaign against AIDS that will save nine million lives, and he is also increasing spending against malaria — but not nearly as energetically as he is increasing the number of troops in Iraq. So I asked Mr. Carter whether President Bush should be pushing not for a possible war with Iran, but for a war on malaria.
“That would certainly be my preference,” he said. “I thought the war in Iraq was one of the worst mistakes our country ever made, and we’re possibly about to make an even worse mistake by precipitating a war with Iran. But I would like to see us shift away from war being a high priority, to diplomacy and benevolent causes.”
So, President Bush, how about if we as a nation join Mr. Carter’s war on diseases that afflict the world’s poorest peoples — and are one reason they are so poor. That’s a war that would unite Americans, not divide them. Come on, Mr. Bush, sound the trumpets!
Small towns paying nearly half of war’s toll
ANALYSIS SHOWS MANY WAR DEAD FROM POOR AREAS
By Kimberly Hefling
Associated Press
MCKEESPORT, Pa. – Edward “Willie” Carman wanted a ticket out of town, and the Army provided it.
Raised in the projects by a single mother in McKeesport, a blighted, old industrial steel town outside Pittsburgh, the 18-year-old saw the military as an opportunity.
“I’m not doing it to you; I’m doing it for me,” he told his mother, Joanna Hawthorne, after coming home from high school one day and surprising her with the news.
When Carman died in Iraq three years ago at age 27, he had money saved for college, a fiancee and two children — including a baby son he had never met. Neighbors in Hawthorne‘s mobile home park collected $400 and left it in an envelope at her door.
For a year after his death, Hawthorne took a chair to the cemetery nearly every day, sat next to his grave and talked quietly. Her vigil continues even now; the visits have slowed to once a week, but the pain sticks.
Across the nation, small towns are quietly bearing the war’s burden. Nearly half the 3,146 U.S. military fatalities in Iraq have come from towns similar to McKeesport, where fewer than 25,000 people live, according to an analysis by the Associated Press. One in five hailed from hometowns of less than 5,000.
The Census Bureau said 56 percent of the population in 2005 lived in towns of less than 25,000 residents and in unincorporated areas. The 2000 census showed 16 percent of the population lived in unincorporated rural areas.
Many of the hometowns of the war dead are not only small, but also poor. The AP analysis found that nearly three-quarters of those killed in Iraq came from towns where the per capita income was below the national average. More than half came from towns where the percentage of people living in poverty topped the national average.
Some are old factory towns similar to McKeesport, once home to U.S. Steel’s National Tube Works, which employed 8,000 people in its heyday. Now, residents’ average income is 60 percent of the national average, and one in eight lives below the federal poverty line.
On a per capita basis, states with mostly rural populations have suffered the highest casualties in Iraq. Vermont, South Dakota, Alaska, North Dakota, Nebraska, Wyoming, Delaware, Montana, Louisiana and Oregon top the list, the AP found.
There is a “basic unfairness” about the number of soldiers dying in Iraq who are from rural areas, said William O’Hare, senior visiting fellow at the University of New Hampshire’s Carsey Institute, which examines rural issues.
Diminished opportunities are one factor in higher military enlistment rates in rural areas. From 1997 to 2003, 1.5 million rural workers lost their jobs because of changes in industries such as manufacturing that have traditionally employed rural workers, according to the Carsey Institute.
Rural communities are “being asked to pay a bigger price for this military adventure, if I can use that word, than their urban counterparts,” O’Hare said.
As a result, in more than a thousand small towns across the country — from Glendive, Mont., to Barnwell, S.C., to Caledonia, Miss., and from Hardwick, Vt., to Clinton, Ohio — friends and families have been left struggling to make sense of a loved one’s death in Iraq. It is a struggle that hits with a special intensity in tight-knit, small towns.
“In a small community, even if you don’t know somebody’s name you at least know their face, you’ve seen them before, talked to them maybe,” said Chuck Bevington, whose 22-year-old brother Allan, from Beaver Falls, Pa., died in Iraq, after volunteering for a second tour. “A small community feels it a lot tighter because they’ve had more contact with each other.”
Even strangers come up and hug his mother, he said.
Death isn’t the only burden the war has visited on the nation’s small towns.
Entrepreneurs in many small communities have lost their businesses after deploying in the Guard and Reserves, said Sen. Jon Tester, D-Mont. More federal dollars also are needed to ensure that returning soldiers have easy access to veterans health centers, he said.
“It’s an issue of fairness that these folks are willing to go over and fight wars and put their lives on the line and really back this country up the way they have. . . . We owe it to them to live up to our obligation of benefits,” Tester said.
Another fairness issue, raised by Rep. Bart Stupak, D-Mich., is the Pentagon’s practice of transporting the remains of military personnel killed in Iraq only to the nearest major airport. Stupak said it “imposes a burden on the family and friends when they should instead receive our support.” He has introduced legislation to require the Defense Department to deliver the remains to the military or civilian airport chosen by the family.
While support for the war in rural areas initially was high, there has been a sharp decline in the past three years. AP-Ipsos polls show that those in rural areas who said it was the right decision to go to war dropped from 73 percent in April 2004 to 39 percent now. In urban areas, support declined from 43 percent in 2004 to 30 percent now.
Marty Newell, chief operating officer of the Whitesburg, Ky.-based Center for Rural Strategies, said rural areas supported the war early on because so many of their young men and women were fighting it.
“The reason that support is dwindling now is the same reason that support would’ve been strong before, and that is that we know a lot more about it,” he said. “We know what the real costs are, and we know what the real story is. . . . Every day there’s another small town that has one of their own come home less than whole, and there are a lot of small towns like that.”
As the war drags on into its fourth year, Vietnam War historian Christian Appy said the burden it has placed on smaller communities — just as it did in Vietnam — can be an “embittering experience.”
“I think people in many of those towns are deeply patriotic and want to support the country. But as time goes on, it’s becoming increasingly clear to those people that their country and its security is not at stake in this war and in Vietnam,” Appy said.
Hawthorne is not waiting on history’s verdict. She is bitter about a military she said enticed her son with promises of money, then sent him to a war based on a lie.
When her son’s first enlistment was nearing an end, before the Sept. 11 terrorists attacks, Hawthorne said he decided to re-enlist, partly because the signing bonus of more than $10,000 would help pay his bills. At the time, he was facing $600 in monthly child support payments from his failed first marriage.
When he deployed to Iraq, his sister said, he had money saved and planned to go to college when he got out of the military in 2005.
He died in Iraq in 2004 when his tank overturned.
Hawthorne said the military gave her $4,000 for his funeral, but it was not enough to cover the $14,000 expense. The funeral home forgave the rest, and neighbors collected $400 to help her get by.
“You don’t see anyone who has money putting their children into the military,” she said. “I’m all for our soldiers. Without them our country wouldn’t be where we are today, but this war just doesn’t seem right. Like the Vietnam one. It’s not right.”
“I’m very worried about the budget situation. You know, government
bonds are not a way to finance spending — they are a way to postpone
tax increases — only when you postpone those tax increases, you have
to pay interest as well. So I think that the magnitude of the deficits we
are running — both now and, even more, the deficits that are prospective
– are a serious mistake for our country. Republicans and Democrats may
have different views on spending priorities, they may have different views
on tax priorities, but they ought to be able to agree that borrowing on this
scale is a serious mistake for America; it’s a serious mistake for the burden
it’s placing on your students, Mr. Dwyer, when they grow up and are going
to have to pay the interest on all of this debt. It’s a serious mistake because
of the challenge we’re going to be facing in the next decade or two, funding your
retirement and my retirement; it’s a serious mistake because much of that borrow-
ing is being held abroad by foreigners, and, one wonders how long the world’s
greatest power should be the world’s greatest borrower. So, yes, I’ve got very
serious concerns about our fiscal policy….Without regard for political parties or
partisanship, I would hope that we could see that budget deficit come down before
too terribly long.”
Lawrence H. Summers
President, Harvard University
July 13, 2004
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Alan S. Blinder is the Gordon S. Rentschler Memorial Professor of Economics
at Princeton University. He was previously vice-chairman of the Federal Reserve’s
Board of Governors, and before that was a member of President Clinton’s Council
of Economic Advisers. Below, an excerpt from a December 4, 2003 interview with
Professor Blinder in his Princeton office:
“In talking about deficits it’s very important to keep the long-run, short-run
distinction in mind — and this of course gets completely lost in the public
discussion — hopefully students ‘get it’ and then they grow up to be grown ups
and they’ll still remember . . . It’s when you look at what’s coming. We have
set in motion — these things are ‘built-in,’ the word that is used is ‘structural’ —
the tax cuts, the spending base, is going to be higher, forever, that is to say, until
Congress un-does it. In addition to that, the magic year 2010 is not so far in the
future. So, what’s the year 2010? That’s the year that the 1940s birth cohort, the
vanguard of the post-war baby boom turns 65 and becomes eligible for medicare,
becomes eligible for full retirement benefits under Social Security, and, that continues . . .
That post-war baby boom is 17-years long — it gets bigger as it marches through —
so, what that means is, in the year 2020, and 2025, and 2030, there’s going to be
hugely greater demands on Social Security and Medicare than there are now, even
if there is no change in the law . . . So, we know that whatever surplus or deficit we
take into the year 2010 is going to deteriorate badly in the decade that follows — we
know that — no matter who is president, no matter what is done, the only question is
in the details, it has to . . . So that, to me, was the main reason why it would have been
nice to go into that period with, say, a surplus of 3% of GDP instead of a deficit of 4 or
5% of GDP which is what it looks like we’re doing now. I think that was a crying shame
– it was a great opportunity which fell in our lap — and we fumbled it . . . and we’ve
created a long-run problem that we’re going to regret having done.”
Alan S. Blinder
Princeton University
December 4, 2003
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