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The author reflects on his visions and aspirations for Action for Victims of Medical Accidents (AVMA). He relates that AVMA needs to focus more on goiong beyond the moral and practical arguments on medical injury in order to lead the nation in the understanding that prevention of medical injury goes beyond the cost of doing it. Moreover, he stresses that AVMA needs to work up its image as an advocate of patient safety and justice that is line with the needs of the 21st century.