This report addresses the most important challenges facing the Latin America and Caribbean region as it attempts to replace its traditional economic and social structures, including populist institutions, with a modern, efficient, administrative state. The analysis focuses on the political economy of pending reforms and their ramifications. The report discusses (1) recent economic and political developments; (2) systemic issues such as high real interest and unemployment rates and declining export growth; (3) social policies and the need to consolidate macroeconomic stability; and (4) how to define and build the new Latin American state. An appendix provides detailed information on selected country performance.