Argues that the historical boycott of Haiti's government in the 19th and 20th centuries by the international community, the constant internal struggle among the members of the elite for the control of state power, and the weakening of state structures through the creation of nongovernmental organizations have weakened the government's capacity to deal with major catastrophe and meet the needs of its citizens.
Argues that geography and geology sparked the Haitian earthquake, but the extent of the destruction was due to the massive failure of Haitian institutions, in particular the state, and international policy, which predated the earthquake.