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Reforms of financial regulations are progressing slowly and only at the national level, monetary system reform is limited. After an interlude that some considered as a return to Keynesianism, the orientation of macroeconomic policy, especially fiscal policy, is back to business as usual. This will hinder a sustained recovery of the world economy and open the door for new financial crises. Thus, the rethinking of policies and reshaping the financial and monetary system remain an urgent task. This publication makes concrete proposals on how, and in which priority areas, to advance with strengthening regulation of the financial sector and commodity markets, reform of the international monetary system, and the reorientation of fiscal policy.