Mark MacLeod

Mark MacLeod is an orthopaedic surgeon from London, Ontario. He has been in practice since 1996 and has been involved in medical systems and medical politics, in a variety of roles from 2001. Most recently he was on the board of the Ontario Medical Association and served as the Association President in 2010-2011. He has interest in health system design and function. When not in London, he spends his time at a farm in rural Ontario with his partner Bill.


Articles and Opinion Pieces by this author

Lessons about health care from a sick kitten

My partner Bill and I have a soft spot for animals. It is one of the most important values I have learned from Bill.  Traveling to London from our farm we happened on a kitten sitting in the middle of the road. She was sick, blind, desperately thin, and only two or three weeks old…

Values in health care

The language of health care has had dramatic change – we now commonly use terms like patient centred care, quality outcomes, accountability, and so on in our description of a current or desired state for health care systems and the delivery of care. One discussion I do not hear frequently enough is a discussion of…

Why we need to change the revenue model for health care

There are three options when a service or product costs more or is perceived to cost more than it should – agree to pay more, find a similar product for lesser cost, or refuse to purchase.  All of these options are valid in health care, including the last one – with funders deciding that some…

What do we mean by quality?

No one speaks of health care at the moment without talking about quality – better quality, quality measures, pay for performance, quality metrics, publication of quality data, accreditation – the list goes on and on.  But, what do we mean by quality?  It is my observation that we are running into problems in the discussion…

The productivity conundrum

We struggle in health care now as much with the system as we do with patient care.  Fiscal pressures, mounting demands for treatment, new innovative treatments – all form an ever increasing set of expectations of and by patients, funders, and providers alike.  We are being challenged to be more productive.  To do more with…

The real eHealth scandal – we still don’t have a universal medical record

An E Health scandal?  The real E Health scandal is that we don’t have an electronic health system.  In an age of Google and 4G smart phones– the health system still functions largely with paper and fax.  What we need is a fully integrated complex data system that not only has patient information in it…

No more politics – why health care needs an independent authority

Someone or something needs to control health care, set an agenda, perform long range strategic planning, monitor performance, make corrections, bring in new ideas, and eliminate old ones.  That is a tall order in the context of a health care system that is perhaps our most complicated decision making environment; one that has such an…

What change do we want?

In my first post, “The Easy Lifting Has Already Been Done”, I noted some of the barriers to change in the health care system.  I will write further about barriers and possible solutions.  However, first I need to take one step back. That step is to address the necessity of change in how we deliver…

The easy lifting has already been done

The challenges facing the health care system are massive and despite some occasional messages to the contrary, the overwhelming opinion is that the health care system is not sustainable. Despite the mounting chorus, internal and external, telling us that the system isn’t sustainable, surprisingly little has been done. We have been nibbling around the edges…