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Analysis Is the global economy resilient enough to handle its high levels of debt?

Economist Victor Duggan looks at the level of debt internationally and ask if the global economy can manage it.

THE IRISH, EUROPEAN and global economies have proved more resilient this year than many economists had feared.

Yes, stubbornly high inflation has sapped consumers’ spending power. Yes, economic activity has slowed in the face of higher interest rates and the lingering effects of the war in Ukraine.

Yes, there was a wobble in the banking sector on both sides of the Atlantic, and we still don’t know how that will affect credit availability. But, there is little sign of the feared recession. Yet.

Still haunted by our housing crash during the global financial crisis, Irish borrowers have spent much of the past decade paying down loans rather than taking on new debt. This at a time of historically low interest rates. But, Ireland was something of an outlier in this respect. Globally, households, businesses and governments have continued to rack up debt to historic highs. Even more than in the most advanced economies – which already had relatively high debt levels – the debt buildup has been most striking in emerging and developing countries.

No more easy money

Taking on debt is not a bad thing per se, particularly if it supports investment that supports long-term growth, and ultimately capacity for debt repayment. Even if borrowed money is being squandered, it may not be a big problem so long as interest rates are low, economies are growing, and there are enough lenders ready to refinance debts as they come due.

Again, this has been the case for most of the past decade. Even the pandemic hardly caused a missed beat.

Having learned lessons from the early stages of the global financial crisis, central bankers and other economic policymakers slashed interest rates and flooded economies with liquidity in early 2020. Debts continued to mount.

Famed investor Warren Buffett once quipped that “only when the tide goes out do you discover who’s been swimming naked.” Over the past year, the tide has gone out on easy money. Interest rates have been rising faster than at any time since the early 1980s. We could be about to see who has been swimming naked, racking up debts in the expectation of easy refinancing.

The last time interest rates increased this fast it led to a lost decade in the global south. Latin America and Africa were particularly hard hit, and some countries have never really recovered. IMF bailouts to make private lenders whole piled further debts on developing countries while imposing what Naomi Klein has called ‘shock therapy’. Bailouts came with strict conditions, including privatisation of state enterprises, fiscal austerity and opening up to foreign trade and investment.

Among the countries that have recently sought bailouts – or could be on the brink – are Bolivia, Chad, Ecuador, Egypt, El Salvador, Ghana, Laos, Lebanon, Malawi, Pakistan, Sri Lanka, Tunisia, Ukraine and Zambia. The IMF estimates that more than half of low-income countries are at risk of debt distress.

This is not merely an academic concern for faraway places. European countries with high debt burdens and weak economic growth are at risk of fiscal crises if interest rates go higher for longer than currently expected. Italy’s public debt is nearly one and a half times the size of its economy. In the two decades before the pandemic, its economy never once grew by more than 2%. It would not take much for future financial contagion to put Italy in the sights of bond vigilantes. Unlike Portugal, Greece and Ireland, Italy is too-big-to-fail. It could even be too-big-to-bailout.

The good news is that Irish households and businesses are not among the most exposed. As mentioned, we have not partaken in the private sector debt buildup. The public finances are in rude health, even with the caveat that a large and unknown share of surging corporation tax receipts could dry up in the years ahead. The bad news is that we are a small, open economy bobbing on the waves of global finance. We would not be immune to a global debt crisis.

What can be done?

First of all, central banks need to be very careful about further rate hikes. Having floored the accelerator during the pandemic, they have slammed on the breaks to try to tackle inflation. With ice on the road ahead, pressing ever harder on the brakes increases the risk of the economy careening out of control. Interest rates are already restrictive, while the full impact of the past year’s hikes has not yet even been felt.

Secondly, more needs to be done at a global level to make sure the system is ready for what’s coming. During the pandemic, bilateral debt repayments were suspended for the poorest countries. The G20 Common Framework for Debt Treatment was supposed to build on this arrangement, but it is ripe for reform to extend eligibility to middle income countries and to ensure participation of private creditors in debt relief and restructuring. Sometimes ‘burning the bondholders’ is the least bad option! Concerted efforts are also needed to engage China, now a leading lender to other emerging and developing countries. The Global Sovereign Debt Roundtable – chaired by the IMF, World Bank and India as G20 President – was established earlier this year to address some of these issues, but it is important it leads to concrete action and doesn’t just languish as a talking shop.

Thirdly, at EU-level Italy needs ratify reforms to the European Stability Mechanism so that it can fulfil its role as a backstop to failing banks and governments facing a fiscal crisis. But, the ESM needs to be made bigger and better. If a country like Italy were to get in trouble, it would not have anywhere near enough financial firepower to bail it out. And because the conditions attached to precautionary credit lines are so stringent, there is a risk that countries will not seek help until it is too late and a full-blown crisis can’t be avoided.

The ESM should also become a fully-fledged EU institution, making it accountable to the European Parliament. Even if it never has to be used, the existence of a credible backstop can boost financial market confidence and reduce the likelihood of a speculation-driven crisis. But, it needs to be made fit for purpose.

As for Ireland, we may not be among the most exposed countries this time around, but our bitter recent experience should inform our engagement in those organizations in which we are players, whether that be the ECB Governing Council, the IMF Board of Governors or the ESM Board of Governors, currently chaired by Paschal Donohue. We know what it was like to go through painful – and some would say excessive – austerity. We can bring lessons learned to the table to help avoid the repeat of past policy mistakes.

Victor Duggan is an economist.

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    Mute Helen O'neill-clayton
    Favourite Helen O'neill-clayton
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    May 9th 2013, 8:17 PM

    People don’t realise the seriousness of messing with epilepsy meds. Using the proper meds and the generic versions can easily mean the difference between driving and off the road for a year, may easily affect employment. Never mind the annoyance and frustration of having a seizure unnecessarily, especially if its in front of your young children who are frightened out of their minds. It’s not about saving a few bob, it’s about completely turning somebody’s life upside down.

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    Mute Daffy the Bear
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    May 10th 2013, 1:29 AM

    I only visited my consultant neurologist this morning. Whilst renewing my prescription, he strongly emphasised that under no circumstances should I accept generic substitute meds from any pharmacy for the exact reasons discussed here..

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    Mute Christina O'callaghan
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    May 10th 2013, 12:36 PM

    totally agree here!! it can take months to get the dosage right and the last thing you want to do is mess that up!! the consequences are unthinkable

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    Mute Dylan Robert Morrow
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    May 9th 2013, 7:36 PM

    If a generic has an equivalent amount of API to the brand then why is this an issue…or is that not the case?

    30
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    Mute Audrey Muddiman
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    May 9th 2013, 7:40 PM

    In AEDs it’s not the API that’s the issue but how its absorbed. Info on why generic substitution is dangerous in AEDs is available at http://www.epilepsy.ie

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    Mute Bo11ocks_to_this
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    May 9th 2013, 8:12 PM

    No pharmacist with any ethics would substitute against an epileptics wish.

    Having said that the fact that this potentially serious issue has just been ignored is ludicrous and sadly typical!!

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    Mute Sarah-Jane O'Connor
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    May 9th 2013, 8:35 PM

    I agree – any pharmacist with a brain would not substitute a branded AED with a generic, or substitute any drug with a narrow therapeutic index for that matter. Such a delicate balance involved. Shouldn’t really be an issue, and hopefully it won’t be.

    52
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    Mute Bruce
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    May 9th 2013, 10:01 PM

    Dylan, as I understand it also relevant are the binding agents in the make up of the tablets hence the issue.

    There is documented evidence.

    Shameful that vulnerable people are being exploited by the state. But what is new with this Government.

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    Mute Bruce
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    May 9th 2013, 10:04 PM

    @boll… actually this had been known and written about for some time. Those directly affected are aware – and I know this for a fact as it affects me.

    17
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    Mute Marion Murphy
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    May 10th 2013, 11:13 AM

    I have already experienced being offered a substitute drug & it has being found with several patients around the country who did accept the generic it has being found to cause seizures.

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    Mute Barbara Glibbons
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    May 9th 2013, 9:07 PM

    Generics are IDENTICAL to name brands in their composition of the active ingredient. The only difference might be in the additives…. (speaking as someone who works in the industry)

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    Mute Audrey Muddiman
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    May 9th 2013, 9:13 PM

    And it’s those additives that affect the absorbtion into the body of the active ingredient. This is why it is so important that switching does not take place. Again, I refer you to http://www.epilepsy.ie for information.

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    Mute Bruce
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    May 9th 2013, 10:09 PM

    The additives are the issue so therefore you can’t say they are identical.

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    Mute Ross Quinn McEntegart
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    May 10th 2013, 12:41 AM

    This is 100% a non issue.

    The act in question will designate which drugs are to be allowed to be generically substituted. There are ABSOLUTELY NO plans to include antiepileptic drugs in it. There is no need to EXCLUDE AEDs from it, simply because there are absolutely no plans to INCLUDE them.

    In the case of most antiepileptic drugs, there isn’t any generic available anyway, but in those cases where there is, the pharmacist is well aware that substitution carries with it a slight risk of loss of control of the condition.

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    Mute Audrey Muddiman
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    May 10th 2013, 8:55 AM

    Ross, you are 100% incorrect in your statement that this is a non issue. Generic switching has already taken place, Epilepsy Ireland are aware of a number of cases. while not all AEDs have generics available, some do and not all pharmacists are as aware as you might think. Due to the non-action of the Government in including a safety measure in the Medical Bill, Epilepsy Ireland will now have to mount a huge information campaign to ensure that people with epilepsy and their families are aware that they should accept no substitute to their normal medication.

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    Mute Marion Murphy
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    May 10th 2013, 11:10 AM

    I have already being offered a generic drug in a local pharmacy but refused to accept it.

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    Mute Ciaran Phelps
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    May 9th 2013, 7:54 PM

    What does Rick O Shea have to say about this?

    8
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    Mute Eimear Lynch
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    May 9th 2013, 9:25 PM

    No..they are cheaper simply because the don’t have the brand name..compare Nike’s runners with the pennys ones they do the same job Just don’t have the Same price tag

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    Mute Geoff Tracey
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    May 9th 2013, 9:45 PM

    Try running a marathon in penneys runners, you’ll be in Nikes as soon as the swelling and blisters disappear….

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    Mute Vincent Knight
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    May 9th 2013, 11:19 PM

    I’m guessing your not suffering from epilepsy then?

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    Mute Bruce
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    May 10th 2013, 7:12 AM

    Eimear,
    Your comparison is so wrong and over simplified.

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    Mute Jack Brolin
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    May 10th 2013, 9:14 AM

    This is quite honestly scaremongering. No pharmacist worth his/her salt would substitute a branded anti-epileptic for a generic medication on their own volition. It borders on crazy.

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    Mute Marion Murphy
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    May 10th 2013, 11:16 AM

    It has happened around the country. I was offered a substitute generic drug in Boots.

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    Mute Jack Brolin
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    May 10th 2013, 1:12 PM

    Well, I’m a pharmacist, and I wouldn’t do it. I hope you said no.
    Safe to assume it’s levitiracetam or gabapentin?

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    Mute Alan Burke
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    May 9th 2013, 8:32 PM
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    Mute Helen O'neill-clayton
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    May 9th 2013, 8:37 PM

    There’s loads of ‘alternative’ way of treating epilepsy like marijuana, low carb diet etc. only thing that does and will work is epilepsy meds. Fact. This issue can be spoken about til the cows come home but exact meds are prescribed for a reason. If the generic versions are ‘exactly the same’ as the brands while are they so much cheaper?? Cheaper ingredients???

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    Mute cooperguy
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    May 9th 2013, 9:18 PM

    I’m not going to argue against the need for the branded drugs because I don’t know anything about the issue and I assume if the main epilepsy groups are against this there must be something behind it.

    However the main reason that generic drugs are cheaper is that the companies selling them didn’t have to fund the R&D to develop them (which can take an extremely long time and cost a fortune). They also can put a premium price on the product as the first to market and recognised brand name

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    Mute Maria Bingham
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    Jun 28th 2013, 5:27 PM

    Epilepsy Ireland should be more frustrated and angered that Mirek Bingham, a 16 year old boy was under the care of a consultant neurologist who failed to recognise epileptic seizures, failed to carry out an EEG, failed to carry out neuro obs, withdrew anti-epileptic drugs and placed his patient under “minimal intervention”, after patient was rushed to intensive care with status epilepticus and 9 days later had to be rushed to intensive care again because he was left for hours in respiratory failure and status epilepticus and eventually respiratory arrest and on admission to intensive care was septic and had MRSA and was placed on a ventilator, was unconscious and fought for 3 months before his organs finally failed.

    No inquiry to this date has been held into Mirek’s death, no-one in government, coroner’s, judges, state or independent agencies has permitted the full facts of this case to be examined. Surely as a society we have some decency and morale values.

    Savita’s death while unacceptable and tragic, does not compare to the mistreatment Mirek underwent, yet no-one is supporting or shouting for legislation to Protect Life of Patient’s from 007′s (Medical professionals licensed to to kill).

    It is clear that SAVITA’S DEATH is being used by GOVERNMENT and PRO-CHOICE groups to LEGISLATE FOR ABORTION. The only difference between Mirek and Savita, is that THE EXCUSE FOR SAVITA’S LACK OF MEDICAL TREATMENT AND DEATH WAS THAT THEY DID NOT WISH TO HARM HER BABY BY TREATING HER CONDITION.

    Mirek WAS NOT PREGNANT, so why did the medical professionals DO NOTHING.
    For a medical professional to put a patient under “MINIMAL INTERVENTION” is surely CRIMINAL, as it goes against THE HIPPOCRATIC OATH and the RIGHT OF ALL PEOPLE TO LIFE UNDER THE IRISH CONSTITUTION.

    SO WHY IS NO-ONE SEEKING AN INQUIRY INTO HIS DEATH AND ACCOUNTABILITY FOR “MINIMAL INTERVENTION” WHICH WAS A DEATH SENTENCE FOR MIREK.

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    Mute Bruce
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    May 10th 2013, 7:15 AM

    Isnt it strange. All the replies re your vile comment have been removed. Why Journal????? Is it the policy to silence contributors who complain about comments?

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    Mute Alan Keegan
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    May 10th 2013, 4:24 AM

    Im pretty sure qualified doctors know what they’re doing. They wont specify by active ingredient if there is any issue with the absorbtion rates. Anyway i would assume that most epilepsy sufferers would be on some form of long term illness and hence would get them free of charge.

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