The Chicago metropolitan area is home to five adult heart transplant centers, equal to Philadelphia for the most in one city in the United States. Some say this figure is a tribute to the determination of Chicago's hospitals to collectively become a national leader in heart transplantation. Others believe this is a serious strategic gaffe. What are the key policy questions at hand? Dr. Valluvan Jeevanandam, professor of surgery and chief of cardiothoracic surgery at the University of Chicago Pritzker School of Medicine, talks with host Dr. Mark Nolan Hill about the process of developing a transplant facility at a medical institution.