A while back, I visited a village in a country whose economy has been grown rapidly over the past decade. The country has been moving quickly from its lower income status to become classified as a lower-middle income economy. The village I visited was only some 50 kilometers from a bustling provincial capital on the border, but it might as well have been 500 kilometers away. The village took four hours to reach because we had to traverse three rivers or streams, and the roads were riddled with potholes the size of lunar craters. The shoulders of the road sometimes reached up to the top of the car windows.
There was no internet, no phone, and most definitely no technology superhighway and ‘push-one-button solution’ to development. As we went from house to house, it seemed as though everyone in the village was sick. Children were running a high fever. In one household we visited, I asked the mother who was cradling her ill son whether she had been to see a doctor. She said yes. She had managed to borrow money from her neighbor and taken three van rides to the closest health clinic with her son. One month later, however, the child had not recovered and was still running a high fever. He could no longer go to school, and the mother was having difficulty tending her fields because she had to care for her son. I asked her if she was considering taking her son back to the clinic, and she said that even if she had the money, she would not go back. The health staff had treated her and her son badly, talking down to them and belittling them because they were poor ethnic minorities. She and her son only felt worse after the visit, and vowed not to return, no matter how sick the child became.
Variants of this story of marginalization and social exclusion abound. In other countries, it may be the single female head of household who is stigmatized because of her lowly status, or the internally displaced person who falls through the cracks of national safety nets and household surveys, or the ethnic minority villager who cannot speak the official language and consequently is unable or ashamed to speak up at community meetings.