The Caribbean has come to a point where after some 50 years of independence for most of us, we are in a state of socio-economic decline. And unless we are in a balance of payments crisis, and can appeal for IMF intervention, there will be nobody coming to our rescue. Many of us are classified as middle / upper middle / high income which means we are treated in a manner that is not appropriate for developing countries by the World Bank and other development agencies, an atrocity in itself. We need to recognize that we have to cause fundamental shifts in the way we run our countries as a matter of urgency, lest we deteriorate further towards dystopian status. We need to change the way we do business, the way we engage with the rest of the world, the way we treat our natural resources and spaces, the way we govern, and the way we think. Working with the development banks and other multilateral agencies, and the private sector, we can lobby for the policy changes we need to see in the Caribbean.