low-income countries, predominately in sub-Saharan Africa, have been denied the opportunity to follow a similar strategy; in effect, high-income countries “kicked away the ladder” that they had used to climb out of the poverty trap. Instead, sub-Saharan African countries were encouraged to use an untested approach to public health that stressed medicine and technology.[49] But states in low-income countries weren’t able to take full advantage of the exciting new possibilities offered by advances in medical science. How could they, after being hollowed out first by colonialism and then by
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