Break free from the binding robes of passion that feels like a lump in your heart, perform that surgery today, and you’ll be set free forever.

Of the many ‘firsts’ with which I have been involved at the Texas Heart Institute -including the first successful human heart transplant in the United States and the first total artificial heart transplant in the world-the achievement that may have the greatest impact on health care did not occur in the operating room or in the research laboratory. It happened on a piece of paper… when we created the first-ever packaged pricing plan for cardiovascular surgical procedures.