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In an attempt to create a functioning provincial health services system, the Ontario government established the Health Services Restructuring Commission (HSRe, giving it a four-year mandate to restructure approximately 225 public hospitals and to advise the government on related services. Riding the Third Rail tells the story of how the HSRC developed a vision of an effective health services system for the twenty-first century and attempted to fill a policy and leadership void. In the face of fierce resistance to change, especially by hospitals, courageous local leaders created workable...