Nicholas Hildyard
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A study in financial extraction
Lesotho's national referral hospital
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A concrete example of infrastructure-as-extraction is Lesotho’s Queen ‘Mamohato Memorial Hospital. It has been built and is operated by Tsepong, a private sector consortium that includes healthcare group Netcare, under a Public-Private Partnership (PPP) contract. The Chapter traces the flows of money into and out of the project – and highlights who benefits from them. It argues that the PPP arrangement serves to extract considerable wealth from one of the poorest countries in the world and siphon part of it to the elite 1% of the global rich. The central concern is that such extraction is entirely lawful.

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Licensed larceny

Infrastructure, financial extraction and the global South


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