This paper is one in a series on the impact of expanding the navigational infrastructure on the Upper Mississippi River. The Institute for Agriculture and Trade Policy has assessed the use and destination of Midwest grains transported down the Mississippi River. Corn and soybeans constitute the vast majority of grains shipped down the Mississippi. These grains are shipped to those who can best afford them, not to those most in need. For example, we compared export destinations to 28 wealthy countries within the Organization for Economic Cooperation and Development (OECD) to the 25 countries that the United Nation's Food and Agriculture Organization (FAO) designated as Category 5, the countries with the world's most serious malnutrition problems.