There are many complex problems that took many decades to create and that will require a long-term national effort and effective leadership in public policy to alter. In this article by Dr. David S. Jones, Laurie Hofmann, and Sheila Quinn, IFM recognizes – and emphasizes – that not only must we change healthcare and medical education (the primary focus of this paper), but over the next decades we must also change the practices and priorities of our political, social, and economic structures to achieve fundamental change in the public's health.