Abstract

Joan E. Paluzzi and Paul E. Farmer argue that understanding the reasons why countries may not attain the Millennium Development Goals becomes a predictable litany of the barriers and deficiencies that exist within any profoundly poor country. They suggest a more productive approach to achieving the goals would be to identify and to challenge the continued use of obstructive and damaging international policy recommendations including user fees, social sector spending limits, high burdens of debt and the continued reliance upon the neo-liberal model.