On its present course, the US faces a world of rising new countries that will compete with it ever more fiecely as its own power is declining. In order to slow and improve this steady leakage of power, the US must change course internationally, economically and domestically. It must also restructure to remain the world's most competitive economy. And it must address quality of life issues and fairness at home. But American politics is broken - competing forces and interests have led to stasis. With change so tough, where now for a country where the middle classes are suffering as they have never suffered before, the pensions crisis is growing, the deficit out of sight, and radicalism waiting in the wings?

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