The International Monetary Fund was launched in 1944 with the world's new superpower, the United States, in position as the key force and shareholder in the global crisis bank.
Today, China is on the verge of becoming the world's largest economy.
But its voice at the IMF -- wrapping up its annual meeting this weekend in Washington -- remains that of a minor country, and some worry this could undermine the crucial, 70-year-old institution.
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On a more traditional basis, linked to current prices, the clearly much more affluent United States still leads by a wide margin.
But there is no debate about China's rise to power in the industrial world. And its growth rate, at 7.4 per cent this year, still far outpaces that of the rest of the advanced economies.
The IMF has had difficulty conforming to this new global power balance. The US holds 16.7 percent of the voting power in the Fund, which gives it an effective veto over any major changes in its structure and activities.
China meanwhile has a 3.8 per cent voting share, not far from Italy's, which has an economy one-fifth the size.
And the US Congress's repeated refusal to ratify a four-year-old set of reforms that would boost China, India and other emerging powers at the institution is beginning to cut into the Fund's stature.
"The risk for the IMF is that it will become less and less relevant and increasingly illegitimate," said Paulo Nogueira Batista, the IMF representative of Brazil and 10 other countries, speaking on his own behalf.
The 2010 reforms would change quotas, effectively their voting power, for shareholders and also sharply increase the IMF's overall financial resources, crucial for conducting huge operations like the rescue of Greece and Ireland and, most recently, support for Ukraine.
The reforms have been endorsed by all other major economies. But to be implemented, they need US backing.
The administration of President Barack Obama has endorsed them from the beginning, but repeatedly has been unable to persuade Congress to ratify the pact.
The problem has gone on for so long that some are talking of seeking an alternative to the current governance.
Clearly frustrated, IMF Managing Director Christine Lagarde said Thursday that she would perform a belly dance in front of the US Congress if they were to ratify the reforms.
Another former IMF official, Peter Doyle, told AFP: "The rise of China and India have rendered the IMF voting rights allocation not just unfair and illegitimate, but ridiculous."
Lagarde stressed that, even with the skewed voting rights, China, India and other emerging powers are generously represented in the top management circle of the Fund.