Indian cardiologists must transcend systemic barriers and embrace reforms to deliver highest-quality care to fellow Indians.

. Selvarajah S, Kaur G, Haniff J, et al. Comparison of the Framingham risk score, SCORE and WHO/ISH cardiovascular risk prediction models in an Asian population. Int J Cardiol. 2014;176:211–218. . Bansal M, Kasliwal RR, Trehan N. Comparative accuracy of different risk scores in assessing cardiovascular risk in Indians: a study in patients with first myocardial infarction. Indian Heart J. 2014;66:580–586. . Bansal M, Kasliwal RR, Trehan N. Relationship between different cardiovascular risk scores and measures of subclinical atherosclerosis in an Indian population. Indian Heart J. 2015;67:332–340. . Stein JH, Korcarz CE, Hurst RT, et al. Use of carotid ultrasound to identify subclinical vascular disease and evaluate cardiovascular disease risk: a consensus statement from the American Society of Echocardiography carotid intima–media thickness task force endorsed by the Society for vascular medicine. J Am Soc Echocardiogr. 2008;21:93–111. of geographic variations, and proximity to urban areas where tertiary and quaternary care is more accessible. A burgeoning middle class in India is yearning access to high-quality and reliable healthcare. As cardiologists, our community has always been at the forefront of medical and technological advances, and must replicate its pioneering efforts in catalysing reforms that will curb usurpers from diluting the dignity, professionalism, and quality of a ‘‘true’’ cardiologist that has dedicated years of hard work, personal sacrifice, and rigorous training with the desire to provide excellent care to patients. I have a few ideas and suggestions, imbibed from the West (h se im m