"We believe the process requires fundamental reform," the report says.

Considers whether China's continued economic development will require political reforms.

The crisis will require deep economic and political structural reforms.

All of this requires fundamental political reforms in that country, however.

The administration of justice is another sector requiring fundamental reform.

"The pension system, military and industry, for example, all require structural reform."

And we will still require fundamental reform in education and health care.

Transforming those nations into peaceful members of the international system will require more than just a few elections and economic reform.

Such a choice requires fundamental reforms of state, economic and judicial structures.

Done properly - which will require reform of the private insurance market also - competition can eventually control costs and improve quality.