 ወይዘሮ ሱዛን ጆርጅ በበኩላቸው "ከ1981 ጀምሮ ከ15 እስከ 20 ሚሊዮን የሚሆኑ የድሃ ሐገራት ዜጎች ያለጊዜያቸው ሕይወታቸው የሚቀጥፈው መንግስታቶቻቸው ለንጹህ ውሃ አቅርቦትና ለጤና ማውጣት የነበረባቸውን ገንዘብ ለብድር መመለሻ በማዋላቸው ነው" ሲሉ ይከሳሉ።
Susan George stated that every year since 1981 between 15 and 20 million people died unnecessarily due to debt burden "because Third World governments have had to cut back on clean water and health programs to meet their repayments."[2]