Give a man a fish, and you'll feed him for a day, teach a man to fish, and you'll feed him for a lifetime.
Why do we continue giving fish to Africans? A lot of countries there simply cannot support their own populations without humanitarian aid. They do not curb their preindustrial birth rate, but we keep their death rate down by providing food and medicine. This leads to ballooning populations of people who have nothing to do: there simply aren't enough jobs. Such people either go to war or make more kids. This leads to the UN providing even more humanitarian aid.
We should cut off the aid and let the African population stabilize at a sustainable number. Meanwhile we can start teaching them to fish. UN should occupy Zimbabwe, send Mugabe to the Hague to be tried for something, and turn the country into an efficient agricultural producer it used to be. Local tribalism (oh, how I hate tribalism) should be brutally suppressed. Any country that asks for aid should submit itself for such treatment instead. Giving milk and penicillin to people living in dung huts or corrugated iron shanties is stupid.
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