Developing regions like sub-Saharan Africa are a hotbed of diseases like malaria and AIDS. Neither the population nor the government can afford the medicines needed to treat the sick, nor the simple measures they would take to prevent them. With a large portion of the population suffering from chronic illnesses, hospitals and clinics are overcrowded with illnesses of all types. When citizens are sick, they cannot contribute to GDP, so they become a drain on resources, locking their regions into poverty again. Geography is not without reproach. Most poor African countries and many other developing countries are “hampered by high transport costs because they are landlocked; located in high mountain ranges; or lack navigable rivers, long coastlines, or good natural harbors” (Sachs p. 59). Countries obviously cannot change their physical location and therefore depend on surrounding regions and governments to make transportation affordable and feasible, by not imposing strict laws and taxes at borders. Many citizens of rich countries do not take into account how lucky they are to simply live where they do. Almost all of the richest countries in the world are wealthy because of their access to trade routes. Of course, the governments of trapped countries play a major role and tend to be among the most corrupt on the planet, but often even countries that want reforms cannot achieve them. With their country's resources completely exhausted, any type of reform becomes almost impossible. You cannot create health, education or savings programs without taxes, and you cannot tax those who live on less than $2 a day, and thus once again the cycle