In this book Jeffrey Sachs focuses on trying to inform the global population that the state of the world's poorest countries is completely unacceptable. It speaks to the reality that although the world's richest, mainly Western, countries have tried to help or at least claimed to help in the fight against global poverty, they have not done enough to achieve this goal. In his book Jeffrey Sachs uses several countries, particularly Malawi, Bangladesh, India and China to show or represent the various stages of economic development and expresses this through the use of a ladder concept in which there must be an exit from poverty. Jeffrey Sachs begins by describing his experiences while visiting Nthandire, a small village in Malawi, one of the poorest countries in sub-Saharan Africa and which he describes as the perfect storm. He says that this city alone has been decimated by AIDS, a disease that he says is now curable at the cost of a few dollars per drug. It depicts a scene where a grandmother has to take care of up to 15 orphaned children because all of their parents have already died of AIDS. Due to the overwhelming spread and destruction of AIDS, only 5 able-bodied men remained in that area. Another disease that is preventable but still appears to be a major cause of death due to lack of supplies or facilities is malaria. One woman had to carry a little girl 10km just to get her treated for malaria and then bring her home the next morning. Something that could be prevented simply with the use of mosquito nets treated against malaria. He then goes on to further explain that on daylight days the clinical departments, where available, have 2 patients to 1 bed, and sometimes he also has… mid-paper… a new form of economics, which he calls “clinical economics” . The objective is to improve the condition of the poor through a scientific diagnosis of the specific economic problems and issues of each nation in order to have a tailor-made solution for each of them. Its experience in dealing with these types of problems is seen as having helped countries such as Bolivia, Poland, Russia, China and India get out of economic chaos. He also called on the United States to stop focusing on the military option in fighting terrorism and instead focus on the factors that cause terrorism. He shows that the United States has consistently claimed to have provided more economic assistance than it actually provided. Supports the United Nations estimate that 0.7% of gross national product is given in direct assistance from rich nations to poor ones as a target that can end extreme poverty..