This document discusses potential future steps to reduce antibiotic usage in commercial beef production. It outlines why antibiotic reduction is needed due to increasing antibiotic resistance. It then discusses various strategies that can be used to reduce antibiotic usage, including procuring healthier cattle, pre-vaccinating and backgrounding cattle before feedlot entry, improving stockmanship and acclimation practices, more precise disease diagnosis, and alternatives to in-feed antibiotics like direct fed microbials. The overall goal is to reduce sickness in feedlots and thereby reduce the need for antibiotic treatments.