Health care reform is upon us. There will be changes in who gets health care, who provides insurance or benefits for health care, who pays for health care, how much they pay, and how health care is structured and regulated. Many of these issues in health care reform are ethical choices, often pitting one right way of doing things against another right way of doing things. The choice usually impacts one ethical principle positively, and another negatively. In this course, we describe ethical principles and Occupational Therapy Ethics in the context of health care reform, and illustrate how health care reform can be analyzed from an ethics perspective utilizing the new 2010 AOTA Code of Ethics.