The article investigates the financial and operational challenges faced by the Queen ‘Mamohato Memorial Hospital in Lesotho, which is run by a public-private partnership led by South African hospital group Netcare. The partnership is consuming nearly a third of Lesotho's health budget, and Netcare has applied to the Lesotho High Court for judicial management, claiming the consortium owes it millions for services provided. The article discusses the hospital's impact on the nation's health budget and the controversy surrounding the contract's terms, including allegations of overcharging and lack of services. Oxfam has criticized the contract for posing a financial risk to the government, and former Lesotho Health Minister ‘Molotsi Monyamane has called the model flawed. The World Bank, which advised on the deal, is urged to take responsibility for the contract's flaws. The article also covers the dispute between Netcare and local shareholders over the management and financial practices within the consortium.

Lesotho's textile industry, supplying garments to American fashion brands, is causing severe environmental and health issues due to water pollution and dangerous working conditions. Factories like Formosa Textiles are linked to water contamination in Maseru and Maputsoe, with workers and residents suffering from chronic health problems. Despite the significance of clean water, Lesotho is projected to become water stressed by 2025. The Water Witness International report highlights pollution in five African countries, with untreated effluent from textile factories killing river life. The African Growth and Opportunity Act has facilitated the industry's growth, but at a high cost to the environment and public health.

Lesotho has sold large quantities of water to South Africa, earning significant revenue, but local communities near the dams have not benefited from this wealth. Villagers struggle to access clean water, facing contaminated sources and broken infrastructure. The Lesotho Highlands Development Authority and the Department of Rural Water Supply have not resolved the issue, leading to health problems and a heavy burden on women and children. The situation is exacerbated by allegations of corruption and mismanagement of funds, with little improvement in the affected communities' living conditions.