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IMF Medicine Works, But Bolivia's Poor Pay the Heaviest Price

By Camila Duarte · Social-democratic / pro-redistribution

September 29, 2026

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The long queues at Bolivian gas stations are finally gone. That, at least, is what the government of Rodrigo Paz points to as proof that the elimination of the diesel subsidy — a cornerstone of the IMF agreement ratified by more than two-thirds of both legislative chambers under Law 1765 — is working. Fuel is flowing again. The fiscal surplus recorded in the first five months of 2026, the $1 billion sovereign bond placement that drew five times its target in demand, country risk sitting below Argentina and Ecuador: these are real achievements, and they deserve to be acknowledged plainly.

But what is also flowing, with equal certainty, is inflation — straight into the kitchens and transport budgets of Bolivia's most economically exposed households. Interdepartmental bus fares have risen by as much as 125%. Chicken, vegetables, and dairy products are more expensive at market stalls across Cochabamba and Santa Cruz. Bakers and dairy producers have already announced price pass-throughs. This is not speculation or anti-reform scaremongering. It is the direct arithmetic of a country where the diesel price jumped from roughly four bolivianos to Bs 17.95 per liter in a single stroke, and where the productive chain — from soybean growers in Santa Cruz to minibus operators in El Alto — runs on that fuel. Analyst César Vargas put it plainly: diesel has a "direct effect" on prices, and that effect is already underway.

The central question this column wants to ask is not whether eliminating the subsidy was correct in principle — it was, and the previous administration's decision to maintain it long past any fiscal justification was a catastrophic act of economic self-harm that burned through reserves and distorted investment for years. The question is whether the speed and sequencing of this adjustment, imposed under IMF conditionality with quarterly disbursements tied to performance targets, is being designed with anything approaching serious regard for the populations it will hit hardest. The evidence is thin. The government's primary shock absorber is the PEPE II bonus, to be paid to more than two million people. The Ministry of Economy has offered free conversion of diesel vehicles to compressed natural gas, with some 400 minibuses already in conversion. Mayors have been asked to police markets against price gouging. These are not meaningless gestures, but they are vastly disproportionate to the scale of the adjustment being absorbed by households already living through what the Fundación Jubileo describes as three consecutive years of economic contraction. The hydrocarbons sector is down 13.4%. Construction is contracting nearly 30%. Cochabamba, the country's third-largest economy, posted a 4.15% contraction. The IMF itself projects a 3.3% GDP contraction for 2026.

What makes Bolivia's situation genuinely contestable — the reason it earns this column over Brazil's more theatrical fiscal drama or Argentina's more familiar stagflation story — is precisely the tension between institutional correctness and social cost that it embodies in concentrated form. Bolivia needed the IMF agreement. It needed to unwind the fixed exchange rate that prevailed for fifteen years and was hemorrhaging the country's reserves. It needed to phase out subsidies that cost the state far more than they protected the poor. None of that is in dispute. But the international financial architecture that delivered this medicine — with quarterly conditionality triggers, a new minister sworn in after parliamentary censure of his predecessor, and a fiscal program that the Ministry itself acknowledges will not normalize until 2028 — leaves remarkably little room for the social scaffolding that makes structural adjustment politically durable and humanly defensible.

The parallel dollar market trading at around Bs 20 against an official rate now set at Bs 11.90 tells you that the exchange rate unification remains incomplete. Business associations consider the flexibilization insufficient. And the government's own acknowledgment that inflation will follow from the diesel measure — while simultaneously instructing mayors to prevent it — is the kind of institutional contradiction that erodes credibility faster than any bond yield can restore it. The industrial sector wants the subsidy gone, which is fair, but is also demanding compensation and regulatory certainty that has not materialized with anywhere near the speed that the adjustment itself was implemented.

Bolivia's reform gamble may yet succeed. The external financing picture — CAF's $3.1 billion strategic alliance, the IDB naming Bolivia as sole candidate to host its 2028 annual meeting, the sovereign bond oversubscription — suggests that international investors are making a long-term bet on the Paz government's direction. That matters. But investor confidence and household welfare are not the same metric, and governments that treat them as interchangeable tend to discover the error only when the social pressure becomes impossible to contain. The transport strike threat, the protests called in El Alto, the departmental governors demanding fiscal compensation from a central government that says it has no authority to provide it: these are not mere noise. They are the leading indicators of the political limits of an adjustment program that is being designed, first and foremost, for the satisfaction of its creditors.

Social programs and institutions do not sustain themselves on bond spreads. They require the kind of deliberate, front-loaded investment in transition support that the IMF framework, by its very design, tends to defer in favor of fiscal targets. Bolivia's reformers are right about the destination. The path, as it is currently laid, risks arriving with too few people still willing to travel it.

Camila Duarte is one of 24EcoNews's eight recurring opinion columnists, each representing a distinct editorial perspective on Mercosur affairs.