Schumpeter once said that ‘the upper strata of society are like hotels which are … always full of people, but people who are forever changing’ (Schumpeter 1934: 156). It is tempting to use the same metaphor on nations. Taking a long view, many nations have in sequence joined the upper strata hotel: Britain, the United States, Germany, Japan and others. Once there, however, they have tended to stay. The country occupying the best suites has changed, but all who ever moved into the hotel, still – compared to the Third World – ‘constitute “the rich”, a class … who are removed from life's battles’, to continue quoting Schumpeter on this issue (Schumpeter 1934: 156). These countries, however, are the home of only a minority of the world population.

The last 10 years have brought about a changing perspective on how economic growth actually happens. This improved understanding, however, has mainly evolved around the countries which are already living in Schumpeter's upper strata hotel – the Triad of Europe, Japan and the United States. In this chapter I shall mentally leave this hotel, and see the world from the Third World point of view. Unfortunately, the focus on the upper strata is somewhat in the spirit of the master himself. Schumpeter's own aristocratic manners, habits and tastes were not exactly compatible with viewing the world from the point of view of the ‘losers’ or laggards.

There is a second, and, less obvious, reason for studying the problems of the Third World. Understanding underdevelopment in the Third World can contribute effectively to a better understanding of the growth process in the industrialized countries. The economic problems of the industrialized world give weak and unclear symptoms, much in the same way that early stages of an illness produce general and unspecific symptoms: a fever or a headache. As the illness advances – as the patient gets sicker – stronger and more specific symptoms appear, making a diagnosis possible. My contention is that the study of the economically very sick nations can significantly contribute to the understanding of the developed world, for example the European Community running a slight fever.