Andreas Laupacis

Dr. Andreas Laupacis is the Executive Director of the Li Ka Shing Knowledge Institute of St. Michael’s Hospital and a Professor in the Faculty of Medicine at the University of Toronto. He is a general internist whose interest in health care is driven by his experiences as a consumer, practitioner, researcher and involvement in health care governance. He served on the Board of Directors of Alberta Health Services from 2008 to 2010, and was Chair of its Quality committee from 2009 to 2010. He is currently the Chair of the Board of Health Quality Ontario and a Board Member at Cancer Care Ontario. He holds a Canada Research Chair in Health Policy and Citizen Engagement. He is convinced that the health care system would be better if there is more informed input from citizens. Follow Andreas on Twitter @AndreasLaupacis


Articles and Opinion Pieces by this author

A tribute to Dave Sackett

David Sackett, the most important mentor of my professional career, died last month. I am writing this article partly to acknowledge and thank him for his incredible contributions to medicine, critical thinking and evidence-based medicine. However, others such as Andre Picard  have already done so beautifully. I am writing this partly because I fear that…

Cy Frank – Canada’s health care system has lost one of its great leaders

Cy Frank died yesterday. For those of you who didn’t know him, he was an orthopedic surgeon, accomplished researcher, tireless advocate for the use of evidence to improve the health care system, and a mentor and role model for many of us. We have lost much intellectually. But what hurts the most is that we…

The changing face of end of life care

A while ago I finished two weeks working on the palliative care service at St. Michael’s Hospital. As usual it was a moving, stressful, rewarding, frustrating, exhilarating, humbling, human experience. Working clinically provides me with a reality check for the other parts of my professional life which focus mostly on health services research and health…

The greatest advances during my medical career

During this week’s The Rounds Table, Amol Verma (a senior medical resident) mentions that he thinks that the introduction of a new class of blood thinners – New Oral Anticoagulants (NOAC) – is the most important pharmaceutical advance  that he has seen to date in his career. I was a bit surprised by that, but…

Introducing “The Rounds Table”, a weekly podcast about major new studies in medicine

Dear Healthy Debate community, I’m pleased to announce that Healthy Debate is launching a new feature today – a podcast we’re calling The Rounds Table. Healthy Debate’s articles and opinion pieces are aimed at a general audience, but we also produce more specialized content in the form of our patient-focused Personal Health Navigator. While the…

A primer on Ontario’s health care system for primary health care boards of directors

Last year, Healthy Debate published a primer on Ontario health care system for the boards of directors of hospitals. We’re very happy to now release a primer on the health care system specifically designed for the boards of directors of community governed primary health care organizations. Ontario’s health care boards I have served on several…

Healthy Debate needs your support

Why Healthy Debate? We founded Healthy Debate with a simple goal: to create a destination where Canadians can go for credible, unbiased information about their health care system, and where patients, health care professionals and policy makers can come together and debate the challenges facing our system. We now need your support to continue to achieve our…

Weighing the evidence – should Ontario fund Avastin for brain cancer?

Like many Ontarians, I have been moved by the request of Kimm Fletcher to have the Ontario government pay for the drug Avastin to treat her recurrent brain cancer. Ms. Fletcher is 41 years old and the mother of two young children. It sounds like her brain cancer is growing aggressively despite the best treatments…

Angels in America: reflections on HIV/AIDS and innovation in health care

Last night I saw Tony Kushner’s Angels in America – A Gay Fantasia on National Themes at Soulpepper. What a superb production of an epic play. Like all great theatre, it delved into universal human themes that are relevant today even though the play was written in a different era (for me, Shakespeare and Chekov…

A primer on Ontario’s health care system for hospital boards of directors

Lately I have found myself on a few health care boards in both Alberta and Ontario. I have been impressed by the dedication of the board members, and the depth and breadth of expertise they provide. I am also convinced that having many board members who are not health care insiders provides an exceptionally important…

Health service researchers – are we blind to our own conflicts of interest?

Ritika Goel’s recent commentary on Healthy Debate about the pharmaceutical industry’s influence on physicians got me thinking about other kinds of conflict of interest within the health care system, particularly related to health services researchers. There is a great need for researchers to be independent when conducting their work, and to be able to speak…

Is it time to abandon “pay-at-risk” for health care executives?

As a former member of the Alberta Health Services Board who had my own disagreement with the previous Minister of Health, the news about the recent dismissal of the entire AHS Board over a dispute about pay-at-risk for senior executives had emotional resonance. Some of those who were fired are my friends and have served…

A request from Dr. Andreas Laupacis, Editor-in-Chief of Healthy Debate

Dear Healthy Debate community, Working on Healthy Debate for the last few years has been enormously rewarding for our whole team. We’ve been delighted with the response from our community, and even a little surprised by how much our readership has grown. Healthy Debate has gone through a lot of positive change lately. We’ve completely…

Big changes coming to Healthy Debate

Dear Healthy Debate community, We have been working quietly on some big changes to the site over the last few months, and we’re finally read to unveil them! Over the coming weeks we are re-launching the website with a new look, lots of interactive features and a new design for mobile devices. But before we…

Medical tourism – coming to a place near you?

Sometimes I smugly think that I know a reasonable amount about health care in Canada and elsewhere. Well, it is always good to have one’s smug illusions shattered every once in a while. When in Europe recently, I was at a presentation by the Turkish government about their focus on “medical tourism” – attracting residents…

Opinions, biases and conflicts of interest

A recent article in a scientific journal has stimulated an interesting debate about the make up of advisory boards in health care, and what constitutes a conflict of interest. Dr. Barry Rubin is a vascular surgeon in Toronto and a member of an Expert Panel of the Canadian Institutes of Health Research (CIHR) that is…