Physicians are not immune from heart failure. These ailments lie completely beyond the reach of our high-technology diagnostic tests and therapies. One such form of heart failure is exemplified by a physician who has provided his office staff with clear instructions: "If I am in the room with a patient for longer than two minutes, come and get me." This colleague suffers from cardiosclerosis, hardening of the heart. In his practice, attention and compassion have given way to throughput and revenue. He provides healthcare as a means of making money, but he no longer cares for his patients.