The truth of good economic doctoring is to know the general principles, and to really know the specifics. To understand the context, and also, to understand that an economy may need some tender loving care, not just the so-called hard truths, if it's going to get by.

It's not an accident that the U.S. ranks lowest of all major donor countries in the world - that is the share of our income that goes to development aid. Americans will ask whether, because were so generous privately, that makes up the difference. But it doesn't. We still rank far below other countries.

The essence of Africa's crisis is fundamentally its extreme poverty and therefore its inability to mobilize out of its own resources even the barest of minimum resources to address any of the public health crises that Africa faces.

All of the incessant debate about development assistance, and whether the rich are doing enough to help the poor, actually concerns less than 1% of rich world income. The effort required of the rich is indeed so slight that to do less is to announce brazenly to a large part of the world: 'You count for nothing.' We should not be surprised, then, if in later years the rich reap the whirlwind of that heartless response.

There's a lot of strength in the U.S., but there's a lot of froth also. The froth will blow off. We're going to have to face up to some realities that we're not fully facing up to right now.

Unfortunately, the real focus in this country has not been on the rest of the world. It's been on our own issues and our own problems. Fair enough. But it means that our simple hopes that everything will just work out abroad aren't really coming to pass.

Russia has gone through eight years of continuing economic pain.