We live in a transformational time in the history of medicine and health care. The 21st century will be a time of dramatic change, incredible breakthroughs, and totally altered thinking about health, medicine, and health care delivery. This book sets forth what health care and medicine will look like in the years ahead. It takes a look at history, the transformational changes going on today, the health of Americans, the nine dynamic flows that are shaping health care in the United States, and definitions and descriptions of the new institutions of the future landscape of health care and medicine.