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.
Discusses donations made by the US to developing countries. Often companies in the US donate leftover or unwanted merchandise to developing countries, and regularly these are products that the poor in those countries need or can use. Shipping leftover inventory as a donation also hurts the local economies in remote and poorer areas.