Head Start was born in 1965 as a federal program that aimed to lift America's neediest children out of poverty and enhance their lifetime opportunities. Today, Head Start continues to play an important role in our nation's early learning and development system; it serves nearly 1 million children and remains the only preschool option for poor children in many communities. Yet Head Start faces real challenges if it is to remain relevant and competitive in the face of the surge in state-funded prekindergarten (pre-K) programs over the past 25 years. State pre-K programs now serve 1.3 million children and typically spend about half the amount per child that Head Start does, yet the best state pre-K programs achieve better results than does the average Head Start program. And recent federally funded evaluations of Head Start raise serious questions about its long-term effectiveness. In this article, we examine the major actions undertaken by bipartisan policymakers to improve Head Start and propose three distinct prescriptions of our own: (a) Allow Head Start providers and grantees the flexibility to triage the services most needed by children in their program rather than follow the "all services to all kids" mandate that now exists, (b) shift performance measures to focus more on outcomes than on compliance with regulations, and (c) change federal policies so that Head Start grantees can more easily coordinate and integrate with local and state early education services and funding streams. (author abstract)