In 1999, Cambodia contracted out management of government health services to NGOs in five districts that had been randomly made eligible for contracting. The contracts specified targets for maternal and child health service improvement. Targeted outcomes improved by about 0.5 standard deviations relative to comparison districts. Changes in non-targeted outcomes were small. The program increased the availability of 24-hour service, reduced provider absence, and increased supervisory visits. There is some evidence it improved health. The program involved increased public health funding, but led to roughly offsetting reductions in private expenditure as residents in treated districts switched from unlicensed drug sellers and traditional healers to government clinics.
If Trump and his group hoped that this kind of tough talk would make the North Koreans nervous, and make them come back with their tail between their legs — no, that’s just not the way they work. This is a stupid move. By pushing North Korea away, in such an in-your-face way, he’s pushing them to work separately with the South Koreans and the Chinese.
I think probably that the lesson that [Kim Jong Un is] learning is that he doesn’t have to give up anything and yet people will be scrambling for summits with him. ... The longer we have these drawn-out talks, these summits, bilaterals, trilaterals, quadrilaterals, the more it buys time for them to reinforce their claimed status [as a nuclear power] but also to continue with their R&D. But I do think that there is an element of trying to mitigate the sanctions, and also Kim took all those discussions about military strikes seriously enough to try and take the wind out of the sails. ... I find it difficult to envision how or why he would give up his nuclear weapons, which have pretty much given him what he’s wanted: which is the strategic relevance, the international prestige, and deterrence.
[Regarding President Trump's shift from enthusiasm to uncertainty over the U.S.-North Korea summit] In effect, President Trump is getting a mini-lesson in talking to the North Koreans even before he talks to the North Koreans.