Needed upgrading and changes in the current OSHA regulatory scheme were discussed. Two additional policy tools were discussed. One was the occupational disease risk notification, medical monitoring and health promotion system. Workers who have already been exposed to high levels of toxic substances and who are at high risk of latent occupational diseases need a federal program to identify, notify and counsel them so as to either prevent the disease from occurring or diagnose it early enough for successful treatment. The second policy tool needed was basic workers' compensation reform that allocates the total costs of occupational disease where it rightfully belongs, on the production of goods and services. By increasing workers' compensation benefits and eliminating the artificial barriers to occupational disease compensation, such reforms, by placing the entire burden on the production process to pay for occupational disease compensation, would provide a powerful economic incentive to employers to reduce exposures and clean up the workplace. The author stresses that without a properly reformed workers' compensation system that bears the full economic burden for work related diseases, the ultimate prevention of these diseases will largely remain an unmet public goal.