I'll take a wild guess and say corruption and mismanagement. It can be vigorously argued over as to how much is due to European colonizers vs homegrown tendenci

I'll take a wild guess and say corruption and mismanagement. It can be vigorously argued over as to how much is due to European colonizers vs homegrown tendencies. Nonetheless, it's not a cycle that the elites see any reason to break. Regardless of cause, there is still a need to treat people there. Forget saving their lives. These are rich reservoirs of diseases that people in other countries can contract, there is a good selfish case for showing up. And if we need some goodwill, it's relatively inexpensive.