Indicating that health care reform is integral to his policyagenda, President Barack Obama has moved swiftly to incorporateelements of reform into his economic recovery bill and signedreauthorization of the State Children's Health Insurance Program(SCHIP). Enactment of comprehensive reform, however, is likelyto hinge on the development of a plan that is affordable tofamilies, employers, and taxpayers. It will need to combineexpanded health insurance coverage with investments designedto improve care and slow spending growth if it is to be soundand sustainable in the long term.