And we have begun to take them.
But for the world economy to be able to grow strongly again - and to grow without creating the dangerous economic and financial instabilities that led to the crisis, we need more than just adjustment in the advanced world.
The truth is that some countries with current account surpluses have been saving too much while others like mine with deficits have been saving too little.
And the result has been a dangerous tidal wave of money going from one side of the globe to the other.
We need a more balanced pattern of global demand and supply, a more balanced pattern of global saving and investment.
Now sometimes when you hear people talk about economic imbalances, it can seem as though countries that are successful at exporting are being blamed for their success.
That's absolutely not the case.
We all share an interest and a responsibility to co-operate to secure strong and balanced global growth.
There is no greater illustration of this than what happened to China as the western banking system collapsed Chinese exports fell 12 per cent growth dropped to its lowest point in more than a decade and some 20 million jobs were lost in the Chinese export sector.
Changes in the structure of our economies will take time.
What is important is that the major economies of the world have a shared vision of the path of this change: what actions countries should avoid; what actions countries need to take and, crucially, over what period it should happen.
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