This paper — this Call to Action — represents the next step in health care reform. It is not intended to be a legislative proposal. Nor is it an exhaustive exploration of every health care issue that should or needs to be addressed, or that will be considered. Rather, it details my vision for health care reform. The plan outlined here addresses health care coverage, quality, and cost. Many components would require an initial investment but, over time, would vastly improve the quality of the health care that Americans receive and reduce the cost of that health care, ultimately putting our system on a more sustainable path. The policies in this paper are designed so that after ten years the U.S. would spend no more on health care than is currently projected, but we would spend those resources more efficiently and would provide better-quality coverage to all Americans.