Till Death Do Us Part

For half a century, in sickness and in health, the marriage of Baylor Medical School and Methodist Hospital produced first-class medicine for Houston and the world. But money, egos, and backstabbing came between them, and now both institutions—and all of us—are the poorer for it.

One characteristic that has never been associated with Dr. Michael DeBakey in all his 96 years is bewilderment. But the breakup between the medical school he built, Baylor College of Medicine, and the hospital he built, Methodist Hospital, and all it portends for medicine, in Houston and in America, has left him at a loss for words. The pioneer heart surgeon sits pensively in his sunny shrine of a conference room, its forest-green suede walls barely visible behind a veneer of framed photos, medals, and honors. Though he rarely operates, he still favors his royal-blue scrubs and spotless white scrub cap and coat, monogrammed, in cursive, with his initials. His regal head and ferocious eyebrows still reference the man who, as the world’s most famous surgeon, could outglower just about anyone. But now he drags his long, beautiful fingers across his pale, furrowed brow, as if palpating for his own thoughts. He no longer barks orders; his Southern drawl is soft as a pillow. He takes a steaming cup of coffee but does not drink from it. He studies the floor, ponders. “I don’t understand it,” he says, finally, “it” being the end of the partnership of the medical school and its teaching hospital and the abysmal absence of any successful peace initiative.

DeBakey lost his first wife in 1972 and a son last October, but as tragic as those losses were, he now faces another that must be almost as painful: the end of everything he created in the past half century, which was nothing less than the best medicine Texas had to offer. For more than fifty years Baylor and Methodist coexisted in a mutually beneficial if not always happy marriage that brought out the best in both. Baylor had the intellectual firepower; it ranked in the top ten U.S. medical schools in research funding from the National Institutes of Health and thirteenth in the U.S. News and World Report list of top medical schools. Methodist, in turn, possessed spectacular wealth, which paid for innovation after innovation for the hospital and the school. Banners hanging in its lobby attest to its “Best Hospital” rating in at least nine categories in U.S. News and other publications. Baylor and Methodist both have always hungered to be the best, which is why the unraveling of the relationship is so heartbreaking, not only for DeBakey but also for Houston’s elite, for whom the idea of Texas medical institutions’ ranking alongside Yale and Massachusetts General really matters. The split threatens not just DeBakey’s legacy but the futures of Baylor and Methodist, along with Houston’s eminence as an international medical center and all the economic and psychological benefits that accompany such success.

All of DeBakey’s efforts couldn’t stop the breakup. He wrote imploring letters to members on both boards: “I am writing about a matter of the utmost importance—it may, indeed, even constitute a crisis… .” At meetings he beseeched his colleagues to make peace, soon, before they lost everything. “I’m hesitant to take on the role of Cassandra,” he would say. But no one heard him, and nothing was done. Maybe they didn’t understand the history, DeBakey thinks. Maybe they don’t understand the stakes.

His coffee is cold, and his hands, cradling the cup, are helpless to warm it. “Maybe,” he says, with a half  smile, “they don’t know who Cassandra was.”

BAYLOR COLLEGE of Medicine sits stolidly in the center of the harried, purposeful congestion of the Texas Medical Center, about five miles south of downtown. The main building is a sand-colored, low-rise art deco structure that has been refurbished. Inside it looks like any good school that’s too busy teaching to fix itself up: a low-ceilinged, somewhat dingy warren of offices, classrooms, and conference halls. A slick, sun-washed addition named after DeBakey contains an impressive glass wall dedicated to Baylor’s donors and not one place to sit down. Baylor’s educational mission is aggressively conspicuous, with people in white coats and scrubs striding intently past

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