In the 90a, Dr. William Boden was concerned there wasn't enough data to show how effective stents actually were in the long term. So he conducted a trial, called Courage, that looked at patients with stable but chronic angina. The results were highly contentious, especially for interventional cardiologists like Rajiv Jauhar. Dr. Boden and Dr. Jauhar talk to Dick Gordon about treating chest pain with and without stents, and the challenges of practicing medicine in the enormously complicated U.S. health care system. Also in this episode, a check-in with Roody Joseph.