The paper tries to answer to some questions concernig the efficacy of international aid and the reason of its failures, which have made different scholars and institutions question on its validity (The Samaritans’ Dilemma). The actual dissent on international aid together with the lessons learnt on the ground of its implementation and with the lessons derived from economic history of some developing countries should foster a deep reform in foreign aid management. Some proposals of reforms will be illustrated starting from the evidence of some data concerning Official Development Assistance and taking into consideration the results of the scientific debate and the recommendations of the High Level Fora on Aid Effectiveness.
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