Population trends are creating an unbalanced world; current social institutions for local and global governance, and for international alliances, risk becoming obsolete. To respond to the global population balances of 2030, reform of local and global governance institutions – including NATO, the World Bank and IMF, and local regimes in Africa and the Middle East – are vital. Otherwise, the North American/European leadership that has provided stability and security in the post-WWII era will break down, with no effective alternatives to replace it.