At a national level changes are needed in both rich and poor countries.

As the article says, a rich country with poor people.

It is a rich country in terms of oil resources.

In the short run, rich countries can and should send food.

Economic differences between rich and poor countries are very large.

Only 7 percent of those who need treatment outside rich countries get it, about 400,000 people.

It was hard enough to get money out of rich countries when times were good let alone now.

That is what today's rich countries did when they were poor.

However, the rich countries have to play the leading role.

First, they must learn that rich countries can no longer get something for nothing.