Health and wellness reform has been long overdue and it is much welcome. It is not going to fundamentally change and improve the population health without the most important part of the transition team. The effort is of great purpose and vision for the people and the nation. One stays healthy and well by living a lifestyle which allows the body organs and systems to work as one of many as a whole. It requires self and family management to prevention, the knowledge of and its tools to do that which is necessary to stay well. It will require bad health and wellness behaviors to be effortless in change. It is that type of change into the goodness of being heal and abound with a productive healthy long life. The consumer or the patient is that part which requires a proactive engagement to reduce health care cost and improve efficiency with technology. It requires a true paradigm about sickness. Its affect and effect within the sandbox called our environment. Is it about before it happens or after it happens? The health care system and the governing regulation will need and require trust, collaboration and provision to solve acknowledge problems and the more complex means that must be simplified into standards for all to comprehensively part take their role in health care delivery of the patient from the hospital or office facility, and to the medical or dental home.