There is a great deal at stake in the upcoming battle over health care reform, in some respects more than we might think. Reforming our cumbersome and costly health care system and finding a way to ensure that all Americans have adequate health care has been a major goal of progressives for decades. If a good health care bill gets passed millions of Americans will see almost immediate and tangible improvements in their lives. The US will no longer stand out among advanced industrial countries for its failure to meet this basic need.