Back to the future
Although China’s real GDP growth rate will slow beginning in 2021, given
its increasing demographic challenge, that will not stop it from overtaking
the United States as the world’s biggest economy. For the world to grow
faster in aggregate, countries with favorable demographics must boost their
productivity.
It will be very hard for the world to get to a real GDP growth rate of 4
percent; even the 3.7 percent of the past two decades could be challenging.
Four factors will determine whether we get the growth we need: productivity
in developed economies; how quickly China’s growth trend slows; the success
of India; and, crucially, whether the other highly populated emerging
market economies emerge. Can the likes of Indonesia, Mexico, Nigeria,
Vietnam, and others get close to their long-term potential? If they do,
then real GDP growth for the world could have a better chance of emulating
that of the past decade.
Obviously, an immediate strong post–COVID-19 recovery almost exclusively
depends on developing and distributing vaccines and treatments to eradicate
this pandemic. In my judgment, the multiplier benefits of the required
$20–$30 billion from donors are such that it would represent the biggest
no-brainer economic stimulus any generation has had the chance to agree to,
dwarfing the potential benefits of 2008–09.
The IMF must play an active role in encouraging this stimulus and—in
addition to its newfound focus on climate change—must enter the arena of
health systems and integrate analysis of health spending in its
surveillance work. Aligning with finance ministers to support the Access to
COVID-19 Tools (ACT) Accelerator—a collaboration between leading global
health organizations—is a small beginning, but it needs to be bigger.
Having led the UK government’s independent Review on Antimicrobial
Resistance (AMR), I know there are other health threats out there equal to
COVID-19. AMR could cause as many as 10 million deaths annually by 2050
and, as a result, a cumulative $100 trillion in lost economic opportunity.
Some observers find such numbers hard to believe, but as a result of the
pandemic, we now know such things are unfortunately a reality. Trying to
strengthen the links between economics, finance, and health should be at
the center of our emerging ideas.