As American democracy remains in crisis, reform proposals proliferate. I make two contributions to the debate over how to respond to the current crisis. First, I organize reform proposals into three main categories: moderation, realignment, and transformation. I then argue why transformation is necessary, given the deep structural problems of American democracy. Only reforms that fundamentally shake up the political coalitions and electoral incentives can break the escalating two-party doom loop of hyperpartisanship that is destroying the foundations of American democracy.