The poverty trap that kills a million people a year | Madhukar Pai

Why does tuberculosis remain one of the world’s deadliest infectious diseases even though it is preventable and curable? In this episode of In Pursuit of Development, Dan Banik speaks with Madhukar Pai of the Department of Global and Public Health at the McGill School of Population and Global Health about why TB continues to thrive in conditions of poverty, undernutrition, overcrowding, and weak primary healthcare.The conversation explores why the global burden of TB remains so heavily concentrated in a small number of countries, what makes early diagnosis and treatment so difficult in fragmented health systems, and why social protection may be just as important as medicine in reducing illness and death. Dan and Madhu also discuss the limits of donor-driven global health, the meaning of decolonizing global health, and the power asymmetries that still shape who sets priorities, who controls resources, and who bears the consequences when systems fail.The episode also includes a reflection on the enduring legacy of Paul Farmer — physician, anthropologist, Harvard professor, and co-founder of Partners In Health — whose moral clarity and insistence on dignity in care continue to inspire global health practitioners around the world.Topics covered: tuberculosis, TB, global health, poverty, undernutrition, social protection, India, primary healthcare, health systems, decolonizing global health, donor dependence, Paul Farmer, Partners In Health, development, public policy. Host:Professor Dan Banik, Centre for Global Sustainability, University of OsloSubscribe:Apple Spotify YouTubehttps://globaldevpod.substack.com/