Today marks one year since the earthquake. There has been a great deal of commentary, dialogue, and debate over what is going well, what is not, what should be improved and how. Much of Port au Prince is still in ruins, a cholera epidemic has yet to peak, and the most recent elections were a debacle. The anniversary provides an opportunity for us to consider what will get Haiti out of survival mode and on the path to development. Doing so will depend in large part upon the Haitian government, its willingness to change, and ability to lead.