More debtfare than healthcare: business as usual in the Multilateral Development Banks’ COVID-19 response in India
Publication Name
Review of International Political Economy
Abstract
Multilateral Development Banks (MDBs) have been a vital source of funds for the global South in responding to the COVID-19 pandemic, particularly in the healthcare sector. Prior to the pandemic, the big MDBs’ approach to healthcare reflected the post-Washington Consensus, that is a largely neoliberal agenda perpetuating the expansion of private healthcare markets through financialization mechanisms, though with some emphasis on a minimal level of universal healthcare. We studied the MDBs’ approaches to healthcare in India to evaluate whether the pandemic resulted in: (a) a re-evaluation of their healthcare models to ensure they were fit for a pandemic; (b) a business-as-usual approach; or (c) a disaster capitalism response exploiting the current socio-economic milieu to further neoliberalization processes. We found that the MDBs adopted an inadequate business-as-usual approach that is intensifying the financialization of healthcare in projects using interventions at the micro through to the macro level. This path dependent approach emphasizing multi-scalar financialization has long-term implications for human well-being. Further, we contend that MDB lending is deepening ‘debtfare’ through its healthcare and other support, a term Susanne Soederberg (2014, p. 3) conceived to describe the way neoliberal states ‘mediate, normalise and discipline the monetised relations that inhabit the poverty industry.’.
Open Access Status
This publication may be available as open access