Cupcakes_Robyn Lee_Flickr Robyn Lee/Flickr

Sugar-Free Health Care

For decades, a "sugar daddy" approach to health care has led developing countries to copy innovations from developed countries, perhaps with slight variations, on the assumption that father knows best. But the results have been cumbersome, expensive, and almost never sustainable.

LAGOS – While at dinner recently at a restaurant in Nigeria’s capital, Abuja, I observed a mismatched couple. The man appeared to be at least 60, but was dressed in skinny jeans and a skin-tight sleeveless top, with a large gold chain and dark sunglasses, though it was after eight in the evening. His companion, who looked no older than 22, skipped in behind him with three friends. She tried to include him in their conversation, even leaning in to kiss him occasionally, but a weak smile could not obscure her sugar daddy’s growing discomfort.