The horror of Ebola’s recent devastation illustrates some basic truths: Since July of 2014, health systems have rapidly disintegrated, unveiling virtually nonexistent local and regional resilience. Quite simply, there is no avoiding that development efforts in Liberia, Guinea, and Sierra Leone have failed. These efforts are emblematic of broader failures by the international development field. As citizens of the countries from which the development organizations that are committed to humanity’s health originate, we are all accountable. This essay describes what changes need to occur to maximize the impact of development efforts beyond 2015.