Successive Pakistani governments have failed to manage the nation's external accounts and foreign exchange reserves, forcing incoming governments to seek IMF bailouts. IMF bailouts come with strings attached, strings that impact Pakistan's sovereignty. One of the key reasons is that Pakistan's exports have halved from about 16% of GDP in 2003 to 8% of GDP in 2017. India's exports have increased from 15% to 19% of GDP in the same period, according to the World Bank. 

US-Pakistan relations have been deteriorating for the last decade with  new geopolitical realities and new alignments. This fact came into sharp focus and US and Pakistan disagreed on the readout of US Secretary of State Pompeo's first call to Prime Minister Imran Khan.  The US continues to forge close alliance with Pakistan's archenemy India. Given  US control of international financial system and Pakistan's dependence on IMF, Pakistan faces the challenge of managing the crucial US-Pakistan relationship. What must Pakistan do to avoid a complete rupture of this relationship.