The top priority of any physician or provider in the medical field should be acquiring the most appropriate therapy for patients.This is especially true for patients with heart disease, the leading cause of death nationally and in our own state, accounting for 20,000 Georgians’ deaths each year. Sadly, this is not always the priority of the payers in American health care. As a family doctor with almost 25 years in practice, I’ve seen the difficulties my patients with heart disease experience in filling the prescriptions that could prevent heart and vascular disease and save their lives.