Left up to Steven Lewis, this short (and grossly incomplete) collection of his writings might be called The Golden Fleece. His choice reflects his own perception of his contribution to reshaping the healthcare agenda in Canada. We disagree. As chronicled by the comments interspersed in this collection of Steven s longtime friends and colleagues, his contributions have influenced, inspired and, at times, irritated us. Steven is an advocate for medicare. He believes in equitable access to healthcare for all, and he believes it can be achieved within a public-payer model. But he also believes that Canadian healthcare in the 21st century is in need of reform, and that those responsible for change should be held accountable. Steven s writings are pointed and direct, and highly crafted. His gift for writing makes his work at once entertaining, thought-provoking and sometimes acerbic. Some essays are analytical, while others react to a situation or event. All reflect his passion and his ultimate desire to incite change where change is required, and to hold accountable those who have perpetuated a less than high-performing healthcare system. It is no secret that some critics take issue with Steven s perspective and passion. But over the years that he has been writing for Longwoods, as well as his multitude of other academic journals and books, many critics have also commended him for his honesty and bravery.