The Fund's 13th International Symposium on Health Care Policy will examine the major health care reforms industrialized nations have undertaken to attain higher performance in health care, the strategies that underpin reforms, and the choices made in sequencing them. Of particular interest are the governance structures that facilitate national policy leadership and the infrastructure investments that countries have made to ensure access, achieve benchmark-level quality, improve coordination, and increase efficiency. In bringing together leading policymakers and researchers from 11 nations, the symposium will highlight for U.S. policymakers the approaches that other health systems have employed to ensure high-level performance and sustainability. To reach a Washington policy audience, The Commonwealth Fund and the Alliance for Health Reform will also cosponsor a briefing on Capitol Hill to showcase international reforms relevant to the United States. The journal Health Affairs will consider online publication of papers commissioned for the symposium.