When I was asked to this conference, I had almost the same reaction that Amartya Sen had when he received his invitation, and realized both the subject and the auspices of the conference. Thanks to Stanley Fischer’s remarks, I have become convinced that perhaps my initial incredulity was due to being misinformed about some of the changing concerns in the IMF. I hope that the IMF is not using those concerns merely in a division-of-labor sense, by delegating a lot of their implementation to its sister institution—the World Bank—and just tolerating its work, rather than fundamentally addressing the poverty issues in its own programs.