For over sixty years, conflict between state forces and armed ethnic groups was ongoing in parts of the borderlands of Burma. Ethnic minority communities were subjected to systematic and widespread abuses by an increasingly complex patchwork of armed state and non-state actors. Populations in more remote and disputed border areas typically had little to no access to even basic healthcare and education services. As part of its counter-insurgency campaign, the military state also historically restricted international humanitarian access to civilian populations in unstable border areas. It was in this context that "cross-border aid" to Burma had developed, as an alternative mechanism for channelling assistance to populations denied aid through more conventional systems. Yet by the late 2000s, national and international changes had significant impacts on an aid debate, which had important political and ethical implications.