Lawrenceville, GA-based Gwinnett Medical Center's bid to perform open-heart surgery has set up a fight with Emory and Piedmont hospitals, which already perform the procedures. The conflict centers on Gwinnett's arguments for access to care vs. the other hospitals' assertion that another heart center will flood the market, driving up costs and driving down the quality of care. Both sides maintain their position represents the best interests of healthcare for the Atlanta area.