Contains over 200 reforms after the ACA gleaned from a number of sources including the author and edited down and commented on. Some are parallel alternatives to choose from. I estimate that an analyst could put together over 100 into a coherent package of proposal. This book is intended to stand alone for the reader, but it also can be a useful classroom resource with health policy texts like Bodenheimer and Grumbach (6th Ed, 2012), McLaughlin and McLaughlin (2nd Ed, 2015) and Emanuel (2014). It delves much more deeply than the Affordable Care Act into issues of quality other than access and insurance, including:technical management, physician-patient relationships, continuity of care, measurement and reporting, motivation, medical education, resource availability, payment mechanisms, system simplification, antitrust, cost-reduction measures, labor substitution, organizational learning, ownership of intellectual capital and other areas covered less well by the ACA. It is as descriptive as possible and tries to downplay the prescriptive tendencies of most writings. References are drawn mostly from readily available journals and books. Reforms are grouped into categories like information technology, cost and competition. Each is presented as one sentence. Then the Actors are identified and follows by Discussion. I have attempted to perform a balancing act following the Tom Friedman objectives to be "an equal opportunity basher," but with only limited success.