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Why?
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PPP-adjusted GDP answers “how much stuff can someone in a country buy at that country's prices".
Just because someone in India pays the equivalent of $1 for medicine that you pay $25 for, doesn't mean their medicine purchase "essentially" caused $25 worth of economic activity to occur. I'm oversimplifying it but people misuse the PPP-adjusted GPD metrics in this manner.
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PPP is a garbage metric