But at the same time, 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
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