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>Poverty is the ultimate killer here.

But what is the cause of the poverty. Is it overpopulated for the resources available? Is the endemic use of heroin marring the countries ability to govern itself? Is it being exploited by outsiders who are creaming off the benefit of the natural resources for themselves? ...



Those are good questions. I defer to some theories aired on the MarginalRevolution blog -- none definitive, some quite arguable, but most plausible enough to consider:

http://www.marginalrevolution.com/marginalrevolution/2010/01...

And an essay on the topic also relayed via that blog:

http://www.webster.edu/~corbetre/haiti/misctopic/leftover/wh...




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