Kolko G
Int J Health Serv. 1999;29(1):51-7. doi: 10.2190/JG57-QQUD-MJ3G-291T.
Recent International Monetary Fund studies on the impact of its structural adjustment programs on the poorest nations reveal that most have stagnated or declined economically. The IMF's requirement that these countries increase exports despite falling world commodity prices has been a principal cause of their economic malaise. Meanwhile, IMF loan conditions demanding lower government expenditures have led to sharp reductions in general social spending, from which the wealthiest quintile of the population receives a disproportionately larger share of outlays for health and education.
国际货币基金组织近期关于其结构调整计划对最贫困国家影响的研究表明，大多数国家经济停滞或衰退。国际货币基金组织要求这些国家在世界商品价格下跌的情况下增加出口，这是它们经济困境的主要原因。与此同时，国际货币基金组织要求降低政府支出的贷款条件导致社会总体支出大幅削减，而最富有的五分之一人口在医疗和教育支出中所占份额过大。
