To develop a complete cardiovascular care programme, the Owensboro Medical Health System, a US health provider, entered into a joint venture with the Jewish Hospital in Louisville, about 130 miles away. As a result the Owensboro Medical Health System, which carried out no invasive procedures just a few years earlier, was expected to perform about 330 open-heart surgeries 2006. The Jewish Hospital, which had previously served as one of a few cardiovascular referral centres for Owensboro, got the...