Dr. Wayne Carman opens up about his thoughts on Canada's medical health system and his own cosmetic surgery clinic.

Name: Dr. Wayne Carman, MD, FRCSC
Clinic: Cosmetic Surgery Institute
Location: Toronto, Canada
Website: drcarmanplasticsurgery.com

That's interesting: Dr. Wayne Carman is Past President of the Canadian Society for Aesthetic Plastic Surgery and is the Secretary-treasurer of the Canadian Society for the Accreditation of Ambulatory Surgical Facilities. Other prestigious positions include membership on both the editorial board of the Aesthetic Surgery Journal and also the Premises Inspection Committee of the College of Physicians and Surgeons of Ontario.

Your practice is relatively close to the US border. Do you have patients coming from the US? Is this increasing or decreasing? Do you see this as 'medical tourism'?

In the past, I have had the opportunity to treat many American patients and have enjoyed the opportunity to contribute to their care. More recent restrictions on our professional insurance have curtailed the ability of plastic surgeons to see foreign patients. Those of my colleagues in border cities have sometimes chosen to make individual arrangements to allow treatment of Canadian non-residents, but most plastic surgeons have...