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In low-income countries, getting to a health post is hard. It's very expensive.
There's no such thing as going to a soapbox and saying, 'The government's corrupt,' and not having the intelligence service see your face. In the digital world, that can be done.
Countries which receive aid do graduate. Within a generation, Korea went from being a big recipient to being a big aid donor. China used to get quite a bit of aid; now it's aid-neutral.
If African farmers can use improved seeds and better practices to grow more crops and get them to market, then millions of families can earn themselves a better living and a better life.