It’s not a stretch to say that United States-Pakistan relations are at a low point. Indeed, it seems just when Washington and Islamabad think bilateral relations cannot get any worse, they inevitably do. The latest fallout stems from the accidental NATO bombing in November 2011 of Pakistani military outposts, resulting in the deaths of 24 Pakistani soldiers. Pakistan immediately shut down critical NATO supply routes and the negotiations to re-open them have gone nowhere. To add insult to injury, Pakistan faces a slew of minor crises on its home front, relating to the economy, politics, and of course, security. In Washington, support for civilian assistance to Pakistan is rapidly waning. With this as background, the United States is also undergoing two major personnel transitions in Islamabad. U.S. Ambassador Cameron Munter and USAID Mission Director Andrew Sisson have both announced their intention to step down this summer. This staff turnover, while a distraction in the short run, also provides an opportunity for the United States to re-brand its civilian assistance program in Pakistan. Our latest open letter to Deputy Secretary of State Thomas Nides urges the United States to support Pakistan’s “democratic machinery” with more USAID innovation, stronger Pakistani think tanks and research groups, and more independent media.