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Thanks for your question. Yes, it's the government that provides the bulk of health and education in Cuba and China, which shows that governments CAN be (relatively) successful in promoting human development, especially for poor people. The problem is that in India, for instance, government has been less successful in providing (and even financing) health and education. As a result, some 70 percent of curative health spending is in the private sector in that country. The reason is that, under the guise that the government should be responsible for health and education (which is implied by the human rights declaration), the bulk of health and education financing has been captured by the non-poor, who are politically more powerful.