Picking doctors by colour

In a recent position statement, the Canadian Society of Obstetricians and Gynecologists argued that immigrant patients’ expressed wishes to be treated by a doctor of their own sex, race, culture or religion — reportedly a common phenomenon — should not …

First Nation set to build private hospital

Innovation in health care is coming from an unlikely place. A First Nation in British Columbia is using its unique constitutional position to create what is taboo in the rest of Canada. The self-governing Westbank First Nation is set to …

Harm Reduction News

A Lancet study finds e-cigarettes appear to cut consumption of smokers. After six months, however, the 57% of e-cigarette users had halved the number of cigarettes smoked each day compared with 41% in those using patches. I find it strange …

A Hospital Case: Sweden is leading the world in allowing private companies to run public institutions

SAINT GORAN’S hospital is one of the glories of the Swedish welfare state. It is also a laboratory for applying business principles to the public sector. The hospital is run by a private company, Capio, which in turn is run by a consortium of private-equity funds, including Nordic Capital and Apax Partners. The doctors and nurses are Capio employees, answerable to a boss and a board. Doctors talk enthusiastically about “the Toyota model of production” and “harnessing innovation” to cut costs.