Those two things feed into each other. Basic health increases the ability of a populace to fix institutions. You act like "fixing" the political institutions i

Those two things feed into each other. Basic health increases the ability of a populace to fix institutions. You act like "fixing" the political institutions in a foreign country is some trivial thing, as if people haven't been trying and failing to make interventions like that for a hundred years. I think the hypothesis of: make healthcare, credit, etc widely available, and the political landscape will change much more probable than the counter hypothesis: fix the political landscape through some intervention and healthcare, credit, etc will follow.