This document summarizes the key issues facing Pakistan's economy and energy security, specifically in the power sector. It identifies three main causes of the ongoing problems: (1) an unwillingness by many to pay the actual costs of electricity due to subsidies; (2) political pressure to maintain subsidies across all consumers; and (3) high transmission losses and theft due in part to weak accountability. The document reviews various proposals in Pakistan's new National Power Policy to address these issues through tariff reforms, curbing losses, and increasing competition in generation. Overall it argues comprehensive reforms are needed across regulatory bodies, state-owned companies, and the civil service to resolve the systemic problems plaguing the power sector.