Cardiovascular disease takes place in a border-free world. The challenge at the American College of Cardiol-ogy (ACC) and anywhere else in the world is to hold pa-tient care above the artificial barriers raised by geopoliti-cal issues. Fundamentally, the goal of ACC members or of any cardiology societies in the world is to provide ex-cellent patient care. Cardiovascular disease is essentially the same throughout the world. Where there are minor variations among individuals, as clinicians we find price-less opportunity to learn. Expanding — rather contracting - our experience base helps us as individuals to realize our best potential as practitioners.