This whitepaper is a call to action - a challenge - to prevent pressure ulcers, a painful and life-taking condition that is largely preventable - when addressed systemically and collectively holds the promise of compelling and sustaining pressure ulcer incidence near zero. Our findings indicate that while the legislative pendulum is swinging decisively in the direction of fix it, a systemic approach encompassing economic incentives, quality transparency and clinical protocol has not been achieved in any of the US or Western EU health systems resulting resulting in needless cost and patient suffering.