In 2002 President Bush created the New Freedom Commission on Mental Health to conduct a comprehensive study of the United States mental health service delivery system and to advise the President on methods of improving the system to enable adults with serious mental illness and children with serious emotional disturbances to live, work, learn, and participate fully in their communities. Our current system has been studied, and recommendations—along with corresponding goals—have been set and made clear. We are moving forward and making progress toward transforming mental health care delivery in America. However, I am reminded of the words spoken by Gary Tischler, M.D., who participated in the Carter Commission on Mental Health 25 years ago. Dr. Tischler made an observation that many of the recommendations of the Carter Commission on Mental Health and the New Freedom Commission on Mental Health, convened a quarter of a century later, are similar and that, sadly, we still face some of the very same issues. He said something that is very true: "It seems as though the advances of science and technology far exceed our abilities to solve problems related to attitudes, bureaucracies, and the human condition."