If Volume 1 defines the problem, Volume 2 defines the path forward. A Moonshot Approach to Redesign sets forth a coordinated, capitalized plan to rebuild Chicago’s safety net from the ground up—modern hospitals and ambulatory hubs, strengthened community care through FQHC-centered hubs, a unified digital backbone, and a re-engineered Medicaid payment model. It is both a design and a declaration: transformation, not preservation, is the only sustainable path toward equity and stability.