In the last decade, many advanced sensing and measurement technologies have been developed or transferred from defense use to infrastructure applications. It is now possible to measure various properties of a structural system, its elements and materials. However, the development of new technologies and tools should be considered in conjunction with fundamental changes and new paradigms as opposed to simple modifications to civil infrastructure systems engineering practice. It may be useful to start with a bold vision for an integrated bridge structural and operational management capability, and to properly design, develop, validate, demonstrate and standardize the technologies that are needed in conjunction with this vision. The term `health-monitoring', used in relation to intelligent infrastructure, will be helpful for formulating a complete and coherent vision for the bridge management of the future. The writers define `health monitoring,' as the measurement of the operating and loading environment and the critical responses of a structure in order to track and evaluate the symptoms of operational anomalies and/or deterioration or damage that may impact service or safety reliability.