When President Bush recently proclaimed medical liability reform to be one of the top items on the agenda for his second term, he was only telling part of the story. Bush’s victory and larger Republican majorities in the Senate and House make more likely the passage of tort reform legislation that will impose national damage caps in health care cases, preempt punitive damages against the makers of FDA-approved drugs, cut back on class actions, and establish immunity from liability for gun sellers and the food industry. But tort reform is only one piece of a bigger picture. Since the Reagan administration, a network of business interests, politicians, foundations, and think tanks has engaged in a broad-based effort to transform all of tort, contract, and property law to the advantage of big business and the detriment of ordinary people. Tort reform is the most visible part of this campaign, as legislatures and courts have reversed longstanding rules that protect injury victims and promote public safety. In many states and, remarkably, through the increasing federalization of tort law, negligent actors have been immunized, liability rules have been narrowed, and damages have been capped; more changes are on the way.