The dispute between developed and developing countries on IMF loan conditions is actually a disagreement on the balance between internal and external economic policies. Based on their own interests, developed countries believe that the main reason for the imbalance of international payments in developing countries is excessive demand in the economy, so it is necessary to ensure that lending countries implement austerity policies to reduce domestic absorption through loan conditions; Developing countries believe that loan conditions actually require deficit countries to make unilateral adjustments, which will further strengthen the asymmetry of balance of payments adjustment. Moreover, the monetary tightening and demand adjustment required by the loan conditions are in great conflict with the economic development goals of developing countries. The essence is to solve the external problem of unbalanced international payments and put it above the internal problems of economic development.