When capital is internationally mobile, small differences in macroecon
omic policies generate massive payments imbalances that cannot be mana
ged successfully with the policy tools used during the Bretton Woods e
ra. Monetary and fiscal policy coordination is needed to stabilize the
international economy, but is difficult to achieve. This article uses
insights from the theoretical literature on international cooperation
to account for characteristics of policy coordination in recent years
. Examination of the strategic situation helps to explain why governme
nts have rejected proposals for a rules-based regime (e.g., strict mul
tilateral surveillance using quantitative indicators) yet have coordin
ated policy adjustments on an ad hoc basis in response to crises. A so
lution to the strategic problem - in which there is one mutually adver
se outcome (no adjustment by any government) and a number of Pareto-op
timal outcomes preferred by different governments - depends on the exe
rcise of power, Consideration of theories about hegemony and cooperati
on suggests that the U.S. continues to act as a hegemon in this area,
albeit of the coercive rather than benevolent sort. International theo
ries of cooperation, however, neglect the domestic policy making pract
ices and institutions that pose the central problems for international
policy coordination.