This is one physician’s point of view of the chaotic political and practice environment and where it goes from here. Where it stops, nobody yet knows. The author strives to dissect health reform’s complexities in a straightforward matter. He mixes prose with poetry and even throws in a little humor to boot. Still, he recognizes health reform is a deadly serious subject that impacts every American, young and old, the healthy and the sick, rich and poor. He gives the good, the bad, and the ugly of reform efforts—coverage of pre-existing illnesses, physician shortages, and unaffordable costs. Hold on to your hat and your saddle—it’s going to be bumpy ride.