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This implies that innovations are often quite localized menopause menstrual cycle 10mg female cialis sale, and also that there is an enormous amount of indigenous agriculturalresearch women's health clinic brisbane northside buy generic female cialis 10 mg. Despite their occasional rhetoricto the contrary lynn women's health center boca raton female cialis 20 mg,Bloom and Sachs recognize that the demographicand public health characteristicsthat have impeded growth in Africa are mutable women's health center virginia tech order female cialis with visa. They also recognize that while the physical facts of soil, sun, and rain are given, their effects productivityand technologicalchange are on prospectsfor agricultural research. This contingenton institutionsand investmentin agricultural is the importof their well-written and insightful conclusion: there is a "complex interplay among geography, demography,health and economic performance. This is an importanttheoreticalpoint, but it also has strong implications for policy. An easy misreadingof this paperwould lead one to the mistakenconclusion that agriculturein Africa is doomed by geography to be unproductive,and that it would be best to direct developexammentresourcesaway fromthatsector. In fact, thereare numerous ples of very successful, if small-scale, technologicalchange in African of the agriculture. For a discussion of improvedmaize in semi-aridWest Africa, see Sanders,Shapiro, and Ramaswamy(1996). Bloom and Sachs focus exclu- sively on bad technology as an explanationof poverty and slow growth in Africa. The corollary of this is that investment does not flow from capital-richnationsto capital-poorAfrica, becausethe returnsto capital are low in Africa. However, capital marketsare fragmented as a consequence of informationasymmetriesand imperfect enforcement mechanisms;hence both internationaland local capital flows are inhibited. Evidence on the returnsto capital in Africa is fragmentary often and difficultto interpret. Moreover,whatis of interestis the returnavailable in that partof the economy for which standardstatistical measuresare least likely to be available: enterprisesin the informal sector. Arne Bigsten and others analyze firmsin a numberof Africancountriesand panel dataon manufacturing find extremely high returnsto investmentin certain sectors. In Accra, Ghana,for example, thereare active marketsfor both new (high price but long lasting) and used (cheap but short-lived) replacement parts. At one point in 1997, a used tire cost approximately 40,000 cedis and could be expected to last for abouta year on a taxi in constantuse. With this pair of equilibrium market prices, the real interest rate at which it is worthwhile to buy a sequence of used tires ratherthan a single new tire is almost 40 percent per year. The reasonwhy capital is not flowing from my Americanbankto in borrowers Accra is not thatthere are no profitableinvestmentsavailable in Accra; it is that the informationaland enforcementproblems associatedwith any such loan are so daunting. This calculationignores both the expected cost of more frequentpunctureswith life a seriesof used tiresandthe effects of risk associatedwith the uncertain expectancies of both used and new tires. These savers are prevented from capturingthe high potential returnsto investment by the same types of problem of informationand contract enforcementas interferewith internationalcapital flows. As a consequence of these marketfailures, profitableinvestments are not made and growth remains slow. The technological causes of poverty and slow growth in Africa describedby Bloom and Sachs are real. In many sectors the return to capital is extremelyhigh; institutionaland marketfailures make it impossible for these returnsto be realized. First, Levine and David Renelt provide a valuable cautionary tale of the sensitivity of the results of such regressions to the fine details of model specification. The coefficient of the lagged dependentvariableis biased as a consequenceof this error, and so arethe coefficients of othercorrelatedexplanatoryvariables. Finally, the geographic and demographicvariables-with the exception of the proportionof land area in the tropics and the coastline variable-are themselves endogenous and sure to be correlatedwith the errorterm in the regression. The main demographicvariables are life expectancy in 1965 and a measureof the relative growthratesof the working-ageand total populationsover 1965-90. As noted above, these features of the populationare chosen, not randomlyallocated by nature. The population density near the coast is also endogenous, as this must largely and reflect patternsof urbanization regional migrationthat are strongly correlatedwith the growth process. Consequently, readersshould use these statistical results with a great deal of caution; sweeping conclusions based on this evidence are not warranted. Sachs 287 General discussion: James Stock found the argumentsin the paper plausible, but the regression analysis less than convincing because of possible simultaneityproblems.

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