IMHO, International organizations are unlikely to survive the collapse of civilization but I suppose that (if they survive in a few countries) they might be able to reconnect after things begin to recover.
If you're looking at an individual town in somewhere like the old USA, you might find that the Freemasons are the (hereditary?) elite. They survived the collapse because of their resources/wealth/organization. In the chaos, they took power and have kept power.
Or.. combine it with one of the Encounter Groups. Perhaps Maxwell and his Militia were originally Freemasons? Or perhaps Masonic membership is common among the middle class of the KFS?
Similarly, there is a strong tradition of Jesuit Doctors. Perhaps some EmDees are Jesuits?
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