Pakistan's economy is characterized by a "survivalist" approach, prioritizing International Monetary Fund (IMF) reviews over long-term growth, according to a report. The country faces a chronic twin deficit, with imports consistently double exports, indicating a failure in production. The report criticizes the IMF's focus on revenue extraction at the expense of value creation, arguing that rigid fiscal targets stifle export-led growth and harm legitimate businesses, hindering the nation's ability to break its debt cycle.