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Multitiered systems of support (MTSS) is widely advocated as an approach to improving education for all students, including students with disabilities. A hope for MTSS is that it can solve or mitigate many problems associated with providing special education to students with disabilities. While MTSS shows some promise for better addressing these problems, enthusiasm for MTSS and unsound thinking about what MTSS can do, cannot do, and has not done can veil lack of progress toward improving special education, as well as obscure what improving special education requires. We suggest that for both MTSS and special education to make more progress toward achieving their promises, several reality checks are urgently needed.