proportional allocations the temptation is to conclude that the first task is to transform the policy making
environment so that espoused priorities are reflected in actual allocations. The only exceptions will be
where there really are irreducible forward commitments that prevent this. Even in these cases the two most
commonly cited obstacles - debt servicing and defence needs - are open to scrutiny to see whether there
really is room to manoeuvre. Where costs are high relative to countries at comparable levels of economic
development, and this is responsible for limited access, the opportunity exists to explore the extent to
which efficiency reforms could reduce unit costs and allow greater access.
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