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Gen. Hogg says AFRICOM’s mission is to combat famine and disease. Yet, the AFRICOM-assisted Ethiopian invasion of Somalia in late 2006 led to “the worst humanitarian crisis in Africa – worse than Darfur,” according to United Nations observers. The 2007 humanitarian crisis and the escalating U.S.-directed war against Somalia made the 2010 famine all but inevitable.

As the country‘s health financing crisis escalates, the option of reintroducing and increasing user fees at clinics and hospitals has already been tabled for debate. Such a devastating and retrograde move in Lesotho would further exacerbate inequality and increase rather than reduce access to healthcare for the majority of the population. World Bank President, Jim Yong Kim, recently stated that user fees for healthcare are both unjust and unnecessary.

It is accepted that borrowing capital via the private sector will always be more expensive than governments borrowing on their own account. The theoretical cost saving and value for money potential of PPP financing and delivery therefore lies in effective risk transfer to the private sector and, in turn, the effective management of that risk by the private sector in the form of improved performance and greater cost efficiency in its operations. In the case of Lesotho, this potential benefit has not been realised, and the costs are already escalating to unsustainable levels.

The World Bank promised and advised that to build a Public-Private Partnership hospital in the capital would cost no more than the old public hospital it replaced.