Andreas Laupacis

Andreas Laupacis is the Editor-in-Chief of the Canadian Medical Association Journal and founder and former Editor-in-Chief of Healthy Debate. He is a retired palliative care physician and a health services researcher. He splits his time between Toronto and near Pembroke, Ontario, where he competes against groundhogs for the produce from his vegetable garden. Follow Andreas on Twitter @AndreasLaupacis

Articles and Opinion Pieces by this author


Nick is a resident in internal medicine who is pursuing a fellowship in palliative care. He helped care for his grandfather at home for the two weeks before his grandfather died.

André Picard

André Picard is a health reporter and columnist at the Globe and Mail, where he has been a staff writer since 1987.


Working in palliative care with children brings many sad moments. But there are happy ones, too, especially when finding ways to help patients and families focus on living.


There’s no way anybody can represent the spectrum of patients. But I know what it’s like to experience the wait, the pain, the inconvenience of health care. On those things I represent a very broad group.

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…