In this episode, Sam speaks with Dr. Daniel Muñoz, Executive Medical Director and Chief Medical Officer of the Vanderbilt Heart and Vascular Institute, about the future of cardiovascular care. Their conversation moves from the ICU to preventive cardiology, from the promise of the polypill to the challenges of equity and implementation, and from research insights to the policy decisions that shape patient outcomes. Dr. Muñoz reflects on what it means to lead across medicine and policy, the barriers that slow innovation, and the values that keep him grounded. They discuss the choices and leadership that will define the health of societies in the years ahead.