The poverty trap that kills a million people a year | Madhukar Pai

Why does tuberculosis remain one of the world’s deadliest infectious diseases even though it is preventable and curable? In this episode of In Pursuit of Development, Dan Banik speaks with Madhukar Pai of the Department of Global and Public Health at the McGill School of Population and Global Health about why TB continues to thrive in conditions of poverty, undernutrition, overcrowding, and weak primary healthcare.The conversation explores why the global burden of TB remains so heavily concentrated in a small number of countries, what makes early diagnosis and treatment so difficult in fragmented health systems, and why social protection may be just as important as medicine in reducing illness and death. Dan and Madhu also discuss the limits of donor-driven global health, the meaning of decolonizing global health, and the power asymmetries that still shape who sets priorities, who controls resources, and who bears the consequences when systems fail.The episode also includes a reflection on the enduring legacy of Paul Farmer — physician, anthropologist, Harvard professor, and co-founder of Partners In Health — whose moral clarity and insistence on dignity in care continue to inspire global health practitioners around the world.Topics covered: tuberculosis, TB, global health, poverty, undernutrition, social protection, India, primary healthcare, health systems, decolonizing global health, donor dependence, Paul Farmer, Partners In Health, development, public policy. Host:Professor Dan Banik, Centre for Global Sustainability, University of OsloSubscribe:Apple Spotify YouTubehttps://globaldevpod.substack.com/

What happens to development cooperation when aid budgets are cut, geopolitical tensions rise, and poverty reduction competes with a growing range of strategic priorities? In this episode of In Pursuit of Development, Dan Banik speaks with Elina Scheja, Chief Economist at the Swedish International Development Cooperation Agency (Sida), about the changing politics of foreign aid and the future of development in a far more fragmented world. The conversation explores why today’s turbulence cannot be explained by a single leader or decision alone, but must instead be understood in light of deeper structural shifts in global economic and political power. Dan and Elina discuss the implications of aid cuts in the United States and Europe, the growing emphasis on national interest and “enlightened self-interest,” and the difficult choices donor countries now face as support for Ukraine, climate priorities, regional security concerns, and poverty reduction compete for limited resources. They also examine a central question in global development today: Do we still need aid, and for whom? Elina argues that the answer is clearly yes, pointing to the hundreds of millions of people who remain trapped in extreme poverty and multidimensional deprivation. The discussion highlights why poverty cannot be understood through income measures alone, and why access to healthcare, education, decent work, voice, and security must remain central to any serious development agenda. Another major focus of the episode is evidence and learning in aid policy. Dan and Elina reflect on how development agencies such as Sida can make better use of research, impact evaluation, institutional memory, and artificial intelligence to improve decision-making. Rather than treating evaluation as something that happens only at the end of a project, they argue for a more iterative and adaptive approach — one that uses evidence throughout the entire chain of development cooperation, from country selection and sectoral priorities to implementation and course correction. The episode also turns to jobs, productive employment, and structural transformation. If citizens across the Global South are asking for opportunity rather than handouts, what should aid agencies do differently? Should they focus more on employment, infrastructure, and economic transformation? How can democracy, human rights, and job creation be understood not as competing priorities, but as deeply interconnected parts of inclusive development?   Host:Professor Dan Banik, Centre for Global Sustainability, University of OsloSubscribe:Apple Spotify YouTubehttps://globaldevpod.substack.com/

Asia is often described as the great success story of modern development, a region of rapid growth, falling poverty, rising middle classes, and extraordinary transformation. But how accurate is that narrative today? And what does Asia’s experience really tell us about the future of development in a world marked by inequality, insecurity, demographic change, and technological disruption? In this episode of In Pursuit of Development, Dan Banik speaks with Philip Schellekens, Chief Economist for Asia Pacific at UNDP. Prior to joining UNDP, Philip worked for more than two decades at the World Bank and the IMF, focusing on macroeconomics, governance, demography, and long-term structural change. Together, they explore both the promise and the contradictions of Asia’s development story. The conversation examines why economic growth remains essential, but also why growth alone is never enough. They discuss persistent inequality, informality, and job insecurity across the region, as well as the challenges created by aging populations, democratic backsliding, slowing globalization, and the uneven effects of AI and new technologies. The episode also asks a broader question that runs through this season of the show: how should we rethink development at a time when the global landscape feels more fragmented and more anxious, but still full of possibility? Drawing on examples from China, India, Bhutan, and the wider Asia-Pacific, Philip argues for a more holistic and future-oriented understanding of development, one that places governance, agency, decent work, and human well-being at the center. Host:Professor Dan Banik, Centre for Global Sustainability, University of OsloSubscribe:Apple Spotify YouTubehttps://globaldevpod.substack.com/

Dan Banik speaks with Benjamin H. Bradlow, Assistant Professor of Sociology and International Affairs at Princeton University, about how cities can grow without leaving millions behind. At a moment when more than a billion people live in informal settlements or slum-like conditions, the conversation explores why access to housing, sanitation, transport, and other basic urban services remains so unequal across the world’s rapidly expanding cities. The discussion centers on Bradlow’s award-winning book, Urban Power: Democracy and Inequality in São Paulo and Johannesburg, which asks why some democratic cities are more effective than others at reducing urban inequality. Drawing on a comparison of São Paulo and Johannesburg, Bradlow explains how local state capacity, bureaucratic coordination, and the relationship between governments and civil society shape whether excluded communities gain access to the material foundations of urban life. Dan and Ben discuss informal settlements, affordability, infrastructure, and the role of housing movements in shaping urban governance. The episode offers a rich and accessible conversation on urban development, inequality, and the politics of inclusion, with lessons that extend far beyond the Global South. Host:Professor Dan Banik, Centre for Global Sustainability, University of OsloSubscribe:Apple Spotify YouTubehttps://globaldevpod.substack.com/

Dan Banik speaks with Homi Kharas about one of the most important yet surprisingly underexplored forces in modern development: the rise of the global middle class. Drawing on Kharas’s book The Rise of the Global Middle Class: How the Search for the Good Life Can Change the World, the conversation traces how the middle class emerged as a powerful social and economic force, why its center of gravity is shifting toward Asia, and what that means for the future of development. Along the way, they reflect on how the middle class shapes demand, drives growth, influences politics, and changes what citizens expect from markets and the state. Homi Kharas is a senior fellow at Brookings and previously spent 26 years at the World Bank, including seven years as Chief Economist for East Asia and the Pacific and as Director for Poverty Reduction and Economic Management, where he led the Bank’s work on economic policy, debt, trade, governance, and financial markets. The episode also examines the tensions at the heart of this transformation. As more people move into middle-class life, new questions emerge about inequality, insecurity, democracy, consumerism, and whether middle-class expansion can be sustained in a world under growing environmental pressure. From the anxieties facing Western middle-class societies to the optimism and aspiration associated with middle-class growth in Asia, this is a wide-ranging conversation about prosperity, possibility, and the changing social foundations of the global economy.   Host:Professor Dan Banik, Centre for Global Sustainability, University of OsloSubscribe:Apple Spotify YouTubehttps://globaldevpod.substack.com/

Artificial intelligence is rapidly transforming how societies function — from healthcare and education to governance, public debate, and the future of work. But as AI systems become more powerful and more deeply embedded in everyday life, they also raise important questions about misinformation, democratic accountability, and the role of human judgment. In this episode, Dan Banik speaks with Francesco Marcelloni, Professor of Data Mining and Machine Learning at the University of Pisa and Academic Director of the Knowledge Hub on AI at the Circle U. European University Alliance. They explore how AI actually works, why the debate around the technology has become so polarized, and what it means for decision-making in governments, hospitals, universities, and businesses. The conversation examines both the risks and the opportunities of artificial intelligence, including its potential to improve medical diagnosis, support education, and help policymakers analyze vast amounts of data. Dan and Francesco also highlight why preserving human oversight, critical thinking, and democratic accountability will be crucial in the AI era. Host:Professor Dan Banik, Centre for Global Sustainability, University of OsloSubscribe:Apple Spotify YouTubehttps://globaldevpod.substack.com/

India-China relations are entering a new phase of cautious re-engagement after five years of deep tension following the 2020 Galwan clash. Leaders have resumed meetings, direct flights have restarted, and diplomatic channels are active again. However, beneath these gestures lie enduring structural fault lines: a widening power asymmetry, unresolved border disputes, shifting public opinion in India, and Beijing’s tendency to view New Delhi through the prism of US–China rivalry. Dan Banik speaks with Manoj Kewalramani, Chairperson of the Indo-Pacific Studies Programme and a China Studies Fellow at the Takshashila Institution and author of Smokeless War: China’s Quest for Geopolitical Dominance. Together, they examine whether the current thaw represents meaningful stabilization or merely a fragile “cold peace.” The conversation explores how economic interdependence coexists with strategic mistrust, why India is pursuing de-risking rather than decoupling from China, and how domestic politics and public narratives shape policy choices in both countries. From a development perspective, the episode also asks whether policy lessons can travel across fundamentally different political systems. Can India draw operational insights from China’s infrastructure and governance successes without compromising democratic institutions? And is Beijing willing to accommodate India’s aspirations as an independent global power? Resources: Between Rivalry and Rapprochement: The Trials and Trajectory of India-China Relations (Kewalramani, 2026) Manoj Kewalramani's books and articles on China Host:Professor Dan Banik, Centre for Global Sustainability, University of OsloSubscribe:Apple Spotify YouTubehttps://globaldevpod.substack.com/

In an era of intensifying great-power rivalry, shrinking foreign aid budgets, and declining faith in multilateralism, what role is left for global justice? In this wide-ranging conversation, the Yale philosopher Thomas Pogge joins Dan Banik in Oslo to examine whether morality still has a place in international politics or whether power has fully displaced principle. The episode explores the growing shift from soft power to hard power, the erosion of solidarity in global development, and the strategic competition between the United States, China, and Europe. Pogge reflects on why philosophers have become increasingly marginal in public life and argues that today’s global crises (from climate change to persistent poverty) cannot be solved by technocratic fixes alone. They require moral clarity, institutional imagination, and renewed commitment to shared values. The discussion also turns to the rise of the Global South and the need for stronger collective bargaining institutions, particularly within the African continent. Pogge outlines the Ecological Impact Fund — a bold new mechanism designed to reward green innovation based on real ecological impact in the Global South — and explains how rethinking intellectual property rules could accelerate climate and pollution solutions where they are needed most. Host:Professor Dan Banik, Centre for Global Sustainability, University of OsloSubscribe:Apple Spotify YouTubehttps://globaldevpod.substack.com/

In this episode of In Pursuit of Development, Dan Banik is joined by Dr. David McNair, Executive Director of ONE.org, for a conversation on the future of activism and global development in an age of overlapping crises. At a time when debt distress is rising, humanitarian funding is falling, and trust in multilateral institutions is under strain, what does effective advocacy look like? Drawing on two decades of campaigning to reduce child mortality, unlock billions for climate and sustainable development, and reform elements of the global financial architecture, McNair reflects on what has worked in the past and why some of those strategies may no longer be sufficient. The discussion explores the politics of solidarity, the rise of agency in the Global South, the cost of capital facing African economies, and the growing calls to modernize global financial governance.  Host:Professor Dan Banik, Centre for Global Sustainability, University of OsloSubscribe:Apple Spotify YouTubehttps://globaldevpod.substack.com/

In this episode of In Pursuit of Development, Dan Banik speaks with Yale historian David Engerman about how “development” became one of the most powerful and contested ideas of the modern era. Drawing on Engerman’s 2025 book Apostles of Development: Six Economists and the World They Made, the conversation follows six influential South Asian economists and policymakers, Amartya Sen, Jagdish Bhagwati, Manmohan Singh, Mahbub ul Haq, Rehman Sobhan, and Lal Jayawardene, from Cambridge classrooms to planning commissions and global institutions. Along the way, they unpack the enduring arguments that still shape policy today: poverty versus inequality, markets versus states, trade versus protection, and expertise versus politics. The episode also explores how ideas associated with human development emerged, why “the Global South” became a category with political force, and what these intellectual friendships and rivalries reveal about the promises and tensions inside the development project. Host:Professor Dan Banik, Centre for Global Sustainability, University of OsloSubscribe:Apple Spotify YouTubehttps://globaldevpod.substack.com/