In recent years, the developing world has seen a burst of efforts to reduce corruption, increase transparency and accountability, and improve governance. Needless to say, this is an important and encouraging development. However, the lack of a reliable compass to describe where a country is at a given moment --and where it could be heading in the absence or acceptance of proposed reforms --can result in disastrous missteps. The unfortunate absence of such a guide has helped lead to innumerable failed governments or ineffective regimes. This important book aims to fill that void.

"How to Improve Governance" emphasizes the need for an overall analytical framework that can be applied to different countries to help analyze their current situations, identify potential areas for improvement, and assess their relative feasibility and the steps needed to promote them. A country-specific analysis needs to be comprehensive, in the sense that it includes the four concepts of transparency, accountability, governance, and anticorruption throughout the calculus. Without such an analytic framework, any reform attempt is likely to flounder for lack of a shared understanding of the underlying problems and of the feasible reforms. The book gives special emphasis to the potential for civil society groups to play a stronger role in holding governments accountable for their use of public resources, and to the importance of developing politically feasible, prioritized country strategies for reform.

"Whether one looks at how to increase domestic demand for good governance, how to make government more accountable to the public, or how to build democratic processes that deliver results, the underlying issues are essentially the same.... As development actors of various types... seek to help, more and more of them are calling for a clearer conceptual framework to guide their efforts." --From the Introduction

Because of its potential impact, and, in some cases, the harm it has brought, foreign aid is under the microscope. Donor countries, who don't want simply to give money away; recipient nations, who need to make the most of what they have and get; and analysts, policymakers, and writers are all scrutinizing how much is spent and where it goes. Perhaps more important, aid is only a small part of what developing country governments spend. Their own resources finance 80 percent or more of health and education spending except in the most aid-dependent countries. "Lives in the Balance" investigates a vital aspect of this landscape --how best to ensure that public spending, including aid money, gets to the right destination.

The development of democratic institutions and the spread of cheap communications technology in developing countries make it possible for the "demand-side" --citizens and civil society institutions --to advocate for improved transparency, stronger accountability, better priorities, reduced corruption, and more emphasis on helping the poor. Securing real reform will depend not only on knowledge of how the recipient government operates, but also how to work with partner entities --the media, the private sector, other organizations, and legislators --to raise awareness and compel change.

Why are the costs of health care and higher education rising so dramatically? How can we keep them affordable for lower- and middle-income American families? The exploding cost of health care in the United States is a source of widespread alarm. Similarly, the upward spiral of college tuition fees is cause for serious concern. In this concise and illuminating book, the well-known economist William J. Baumol explores the causes of these seemingly intractable problems and offers a surprisingly simple explanation. Baumol identifies the "cost disease" as a major source of rapidly rising costs in service sectors of the economy. Once we understand that disease, he explains, effective responses become apparent. Baumol presents his analysis with characteristic clarity, tracing the fast-rising prices of health care and education in the United States and other major industrial nations, then examining the underlying causes, which have to do with the nature of providing labor-intensive services. The news is good, Baumol reassures us, because the nature of the disease is such that society will be able to afford the rising costs.