I Wish This Story Were a Hoax

But in Robert Mugabe's Zimbabwe, it's all too true:

Poor women have been exploited at their most vulnerable time by a hospital that charged them $5 every time they screamed during child birth. 

The shocking discovery was made by a U.S. group that campaigns against corruption, as it released its annual Global Corruption Barometer. 

At the hospital in Zimbabwe, one of the poorest countries in the world, the fine was said to be for 'raising a false alarm', according to Transparency International.

Women who were unable to pay the fine were allegedly kept in the hospital until their families could pay. Interest was also added to the fines, according to the Washington Post.

Many mothers already avoid hospital deliveries in the African nation because of the $50 cost, which is about the third of the average $150 income.

In a country where nearly 95 per cent of the population is unemployed after years of economic turmoil and corruption under President Mugabe, and where one in eight women die in childbirth every day, the fines could rob a woman of a year's salary. 

A survey of Zimbabweans found 65 per cent believed the country's medical services to be corrupt.

On the Efficacy of Cash Transfers to the Poor

Smart comments from Chris Blattman:

First, the message can be misunderstood. It is not, “Cash transfers to the poor are a panacea.” More like, “They probably suck less than most of the other things we are doing.” This is not a high bar.

Second, cash transfers work in some cases not others. If a poor person is enterprising, and their main problem is insufficient capital, terrific. If that’s not their problem, throwing cash will not do much to help. I recommend 
the paper for details. Apologies: It is even more boring that Das Kapital.

Third, a cash transfer to help the poor build business is like aspirin to a flesh wound. It helps, but not for long. The real problem is the absence of firms small and large to employ people productively. The root of the problem is political instability, economic uncertainty, and a country’s high cost structure, among other things. A government’s attention is properly on these bigger issues.

If I were an enterprising young researcher looking for an idea and experiments that will prove powerful in five years, I would try to find the stake I can drive into the heart of the cash transfer movement.

My rule of thumb in this profession: “If the New York Times covers a research paper, the next year we will learn that it’s wrong”.

My only quibble is that aspirins don't help for flesh wounds, as they only serve to thin the blood and increase bleeding.