http://www.indianexpress.com/news/the-cash-mantra/788791/

<http://www.indianexpress.com/news/the-cash-mantra/788791/>The cash mantra

*Jean Drèze <http://www.indianexpress.com/columnist/jeandrze/>**
**Wed May 11 2011

"Conditional cash transfers” (CCTs) are a new buzzword in policy circles.
The idea is simple: give poor people cash conditional on good behaviour such
as sending children to school. This helps to score two goals in one shot:
poor people get some income support, and at the same time, they take steps
to lift themselves out of poverty.

CCT enthusiasm, however, is often based on a superficial reading of the
Latin American experience. In Brazil, Mexico and other pioneers of this
approach, CCTs were used to bring into the fold of health and education
services a fringe of marginalised households, in a situation where a large
majority of the population was already covered by extensive social insurance
systems. CCT is basically an incentive and, predictably enough, it often
works: if you pay people to do something that benefits them anyway, they
tend to do it. It is the same principle as scholarships for disadvantaged
children. Incidentally, there is no evidence that scholarships — that is,
conditional cash transfers — work better than “conditional kind transfers”
like school meals or free bicycles for girls who complete Class 8. In fact,
I submit that the latter would win hands down in any sensible and sensitive
evaluation of the two approaches. Be that as it may, I am not questioning
the potential effectiveness of CCTs in their limited capacity of
“incentive”.

What is remarkably dangerous, however, is the illusion that CCTs can replace
public services by enabling recipients to buy health and education services
from private providers. This is not how CCTs work in, say, Brazil or Mexico.
In Latin America, CCTs are usually seen as a complement, not a substitute,
for public provision of health, education and other basic services. The
incentives work because the services are there in the first place. In India,
these basic services are still missing to a large extent, and CCTs are no
substitute.

Consider, for instance, healthcare. In Brazil, basic health services such as
immunisation, antenatal care, and skilled attendance at birth are virtually
universal. The state has done its homework — almost half of all health
expenditure in Brazil is public expenditure, compared with barely one
quarter (of a much lower total) in India. In this situation, providing
incentives to complete the universalisation of healthcare seems quite
sensible. In India, however, public health services are virtually
non-existent, and it would be very unwise to think that CCT-type programmes
like the Rashtriya Swasthya Bima Yojana (RSBY) can fill the gap.

Another contextual difference, mentioned earlier, is that Latin American
countries tend to have highly developed social insurance systems, with wide
coverage. “Targeting” CCTs to marginalised groups in such a situation makes
some sense, because the bulk of the population is already covered and the
rest is (relatively) easy to identify. In India, however, large sections of
the population are in dire need of social support, and the experience with
targeting is quite sobering. Indeed, every known method of identifying “BPL”
(below poverty line) households involves large exclusion errors. This is an
unresolved issue for any targeted CCT initiative in India.

In short, a nuanced approach is required to the design of social security
transfers. CCTs are useful in some circumstances: scholarships are one
example. In other situations, like pensions for widows and the elderly,
there is a case for unconditional cash transfers. Conditional transfers in
kind, such as midday meals in primary schools, also have a role.

Finally, there is a place for unconditional transfers in kind, such as the
Public Distribution System (PDS).

A wholesale transition from the PDS to cash transfers in rural India would,
in my view, be misguided and at the very least premature. For poor people,
food entitlements have several advantages over cash transfers. First, they
are inflation-proof, unlike cash transfers that can be eroded by local price
increases, even if they are indexed to the general price level. Second, food
tends to be consumed more wisely and sparingly; cash, on the other hand, can
easily be misused. Third, food is shared equitably within the family, while
cash can easily be cornered by selfish individuals. Fourth, the PDS network
has a much wider reach than the banking system. In remote areas, where the
need for social assistance is the greatest, banking facilities are simply
not ready for a system of cash transfers (as it is, they are unable to cope
with NREGA wage payments). Last but not least, cash transfers are likely to
bring in their trail predatory commercial interests and exploitative
elements, eager to sell alcohol, branded products, fake insurance policies
or other items that would contribute very little to people’s nutrition or
well-being.

Of course, cash transfers have their advantages too: they have lower
transaction costs, are (potentially) more convenient for migrant labourers,
and may be easier to monitor. Sometime in the future, when the banking
system has a wider reach and the food security problem has been resolved, a
cautious transition to cash transfers may be advisable. Indeed, I am not
averse to the idea of a “universal basic income”. But this is a somewhat
futuristic idea, and for the time being, food is best.

The most common argument for cash transfers is that cash makes it possible
to satisfy a variety of needs (not just food), and that people are best
judges of their own priorities. Fair enough. But if people are best judges
of their own interest, why not ask them whether they prefer food or cash? In
my limited experience, poor people tend to prefer food, with a gradual shift
from food-preference to cash-preference among better-off households.
Further, poor people tend to give very convincing reasons for preferring
food. I am more inclined to listen to them than to the learned champions of
cash transfers.

The writer is an honorary professor at the Delhi School of Economics and a
member of the National Advisory Council


*

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