This book investigates the complex relationship between structural adjustment policies and their environmental consequences, particularly in developing nations. Reed, an economist with expertise in environmental policy, draws upon case studies and economic modeling to argue that while structural adjustment programs aim for economic stability, they often overlook or exacerbate environmental degradation. The book presents a framework for analyzing these impacts and proposes policy adjustments to mitigate negative environmental outcomes.

This work is recognized as an early and significant contribution to understanding the environmental externalities of structural adjustment policies. Scholars in development economics and environmental studies have cited Reed's analysis for its rigorous approach to quantifying the often-unseen ecological costs associated with economic reforms. The book is considered a foundational text for those seeking to reconcile macroeconomic policy with environmental protection.