When Steven is asked by an old college friend to help him re-establish a left-wing political magazine they had worked on 20 years before, Steven realizes he is no longer in tune with the radical thinking it reflected and that his values are more middle-of-the-road than he had ever expected.

When Matt Gilbert tells Steven he has the funds to revive ""The Scavenger,"" Steven is excited about the opportunity to again express his viewpoints and to vividly recall the college days when he pursued Elyse. It only takes one story for him to realize, however, that he no longer represents the revolutionary left.

The Keaton family unites in crisis when Steven suffers a serious heart attack.

While Alex and Andy discuss the upcoming Presidential race, Mallory and Jennifer prepare for another legendary shopping expedition. Moments later, Elyse returns home from jogging, but Steven lags behind, explaining that his run was slowed by a burning pain in his side. Steven dismisses the pain, assuming it was due to something he ate, while Alex kids him that the pain was caused by the guilt of being a Democrat.

While Steven fights for his life in surgery, the family fights to remain optimistic about his condition.

When Steven's surgery extends beyond the expected five hours, tension in the waiting room increases. A nervous Alex, however, begins to express acute concern only for himself fearing that he has inherited a weak heart, he searches in vain for his pulse. Lauren soon makes Alex realize that he is fixated on his own health to block the anguish he really feels for his father. While the Keatons wait, they receive hope and encouragement from Mrs. Hobart and Mr. Meyers, whose spouses are also undergoing surgery.