Abstract: I will first argue that the notion of black hole entropy extends universally to causal horizons. Then I will deduce the causal dynamics of spacetime from the equilibrium thermodynamics of causal horizons. Specifically, it will be shown how the Clausius relation dS = dQ/T between entropy change, energy flux, and acceleration temperature for all local causal horizons implies the Einstein equation, with Newton's constant determined by the universal horizon entropy density. Implications, non-equilibrium processes, and relations to AdS/CFT duality will also be discussed.