Achieving compliance with guidelines has presented an extremely challenging problem in a general sense. The authors’ article demonstrates the difficulty of using the “education” approach to achieving compliance with consensus guidelines. As we all struggle with this particular issue, I am convinced that a more active approach to the incorporation of consensus guidelines is the best way to achieve greater levels of compliance. Information technology can be used as a prompting mechanism so that once a diagnosis is established it would require an active intervention on the part of the caregiver in order to prevent “the right thing” from being done. This approach to medicine raises the specter of “cookbook” approaches, “Big Brother,” and the loss of doctor/patient interaction. All of these issues are legitimate and of concern; however, it will become progressively more important for us as a profession to face and solve this issue. In an age of consumerism, our customers deserve our very best. It’s clear that at times we miss that mark. This article is documentation of that fact. A conscientious group of physicians in an excellent institution did this work and wrote the article. The health-care providers involved in the care of these patients clearly have the very best interests of their patients in mind; however, when we look at the results of their attempt to include statins in the postoperative management of cardiac surgery patients, a fairly straightforward clinical recommendation, we and they are disappointed at the level of compliance. Another approach is needed.