Book excerpt: This report addresses the ongoing social, political, and economic challenges underway in Bolivia and presents a clear set of recommendations for the U.S. government. Gamarra argues that with ethnic, regional, and political tensions in Bolivia on the rise, Washingtons current wait and see approach to the Morales government is no longer adequate. Gamarra encourages the U.S. government to redirect its policy toward Bolivia with an emphasis on preservation of democratic process and conflict prevention.