Organized medicine is at an important crossroads as we enter an era in which health care reform and parity are being implemented. For the first time in our nation's history, most Americans will have access to affordable, effective health care through the Patient Protection and Affordable Care Act, and those suffering from mental illness, including substance abuse disorders, have the same right to treatment as those suffering from other diseases. Despite the naysayers, while funding for some provisions of the new law may be delayed, the principles are finally in place.