We all need to accept and build a future where prevention becomes a dominant force. Waiting to get sick before going to the doctor makes no economic sense. We need a proactive and prepared health care system to work with health-literate, motivated individuals to attain the widespread adoption of evidence-based preventive measures. Nutrition, physical activity and stress reduction should be the backbone of a truly integrative, prevention-focused health care system. Without it, health care costs will continue to climb, while, paradoxically, the health of the nation suffers. We need to focus our efforts on the implementation of the vast amount of prevention science already well described. To do this, health care dollars will need to be directed to prevention and public health training programs. Senator Tom Udall and Representative Gene Green are leading this effort in the U.S. Congress. The rewards are potentially enormous.