This report describes how the costs and benefits of global economic growth have been unfairly distributed, with those on lowest incomes getting the fewest benefits and paying the highest costs. A wide range of examples of more positive approaches are given from the wide, practical experience of the agencies in the coalition. Altogether they paint a picture of more qualitative development that is not dependent on further global over-consumption by the already rich, in the hope that crumbs of poverty alleviation are perhaps passed to those at the bottom of the income pile. The report includes radical economic proposals from leading economists based in developing countries that are already beginning to bear the human and economic costs of climate change.