243:
Soweto were rocked by student protests. When a university-affiliated community health clinic in
Alexandra treated youths wounded by police shotguns, McGregor went to the clinic and supported the position of his staff to hide the identities of those treated from police. In short, McGregor allied himself with those advocating for change – black medical students were enrolled in record numbers and the five university-affiliated hospitals were desegregated after he personally pressured the hospital directors.
235:, and dean of medicine and vice principal of McGill University. His university leadership roles occurred during a period of widespread protests in the late 1960s and early 1970s, including a doctors’ strike in the fall of 1970 over the advent of national health insurance, a policy that McGregor supported then and since. McGregor proved to be a bridge-builder during this turmoil, arguing in print the following year that "the problem should have been the subject of calm and dispassionate discussion.”
31:
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improving the use of technology" through systematic assessment. The results of McGill's own assessments – of dozens of interventions, from aortic valve bypass to gastric banding to prostate screening – are posted online for free access at The
Technology Assessment Unit of McGill University Health Centre website. The site features "Guidelines for Systematic Literature Search," co-authored by McGregor and published in 2013.
195:, a newly graduated medical doctor whom he married when they both started postgraduate work in London, England. Here, he contributed to angiocardiography (Cine angiography had not yet been invented) when he invented and built by his own hands a rapid cassette changer. From 1946 to 1957, McGregor was the author or co-author of 24 peer-reviewed journal articles in the field of cardiology, including three in the
316:
similarly recognized for her "outstanding contributions to fighting lung disease through research and education for more than 60 years.″ The couple raised two civic-focused children: James McGregor, an urban planner who focuses on affordable housing and ending homelessness, and
Margaret McGregor, a family physician and health policy researcher in British Columbia who focuses on care for the elderly.
251:(1994–98). In 2000, McGregor became the founding chair of the Technology Assessment Unit of the McGill University Health Center. McGregor is called the “grandfather of health technology assessment” because as early as 1971, when he was McGill's dean of medicine, he spoke and wrote about controlling costs in order for governments to afford to underwrite healthcare for all:
479:
Beginning with a book chapter titled, « L'Université et les services de santé au Québec » in
Autopsie d'un système, edited by G. Blain (Les éditions Administration et Santé 1971:59 65), McGregor wrote eight articles aimed at members of the Canadian Medical Association and other professional
242:
In 1984, the
University of Witwatersrand (Wits) approached McGregor with a request to return to South Africa – then in the throes of turbulence surrounding the dismantling of apartheid – to be dean of medicine. During his leadership time (1984–87), Wits and the nearby black townships of Alexandra and
310:
Without a commitment to live by shared ethical values, society will just not work. Ethics matter immensely (“I cheat for my kids. So do you,” Parenting, May 2019). We should not cheat for our kids unless we want them to grow up believing that is how the world works, and if enough people believe that
270:
As of 2020, McGregor was the author or co-author of 157 pieces published in peer-reviewed journals on cardiovascular disease, cardiovascular physiology and pharmacology, medical education and health policy, plus 100 book chapters, reports, or other professional publications, and 101 abstracts. As an
253:
Canadians decided some years ago that they wanted all the tricks of modern medicine, such as renal transplantation and open heart surgery, to be fully available to all citizens. Like a good parent Canada has said of its sick "give them only the best and don't spare the expense". But now the accounts
238:
In 1973, McGregor and
Becklake went to China as part of the Norman Bethune Exchange Lectureship between McGill University and Peking Medical College. This made them early pioneers of Western academics crossing political divides to exchange knowledge in China (U.S. President Nixon had gone to China
258:
From 1989 through 2014, McGregor wrote 26 articles published in peer-reviewed journals, plus 74 other published pieces in books and reports, pushing for systematic reviews of the cost-versus-benefits of each new item of expensive technology and each pricey new drug before it is fully embraced by
214:
co-authored 10 articles in peer-reviewed journals that dealt with lung functions. When McGregor and
Becklake returned to South Africa to practise in the early 1950s – he as a cardiovascular specialist and she as a respirologist (later an epidemiologist) – they found that the situation in their
263:
in 1989, titled “Technology and the allocation of resources.” From 1991 through 1995, McGregor traveled to healthcare conferences across Canada, as well as to
Washington D.C., Mexico, Brazil, and England, in response to invitations to explain Quebec's pioneering approach to "rationalizing and
246:
After returning to Canada in 1987, McGregor (by now an emeritus professor) embarked on a new career path. The Quebec government asked him to head the new
Conseil d’évaluation des technologies de la santé du Québec, the first such government body in North America, to evaluate the influx of new
315:
In conferring the Order of Canada on McGregor in 2010, the
Governor General called him “an exceptional teacher and role model” for his “lifetime of outstanding achievement, dedication to community and service to the nation.” Three years earlier, his wife, Margaret "Margot" Becklake, had been
167:
in Montreal in the late 1950s into the second decade of the 21st century. After 13 years as the first chair of the pioneering Healthcare Technology Assessment Unit based at McGill, he retired in 2013, though he remained a consultant. McGregor was recognized for his "lifetime of outstanding
239:
the year before). They wrote about witnessing surgery done under acupuncture anesthesia and about research presented to them on that subject, noting the "paucity of up-to-date first-hand reports in the English language" and the importance "that this work be recognized in the West."
259:
healthcare providers. He argued that unquestioned acceptance of new technology could cause limited healthcare dollars to be syphoned from more necessary and widely helpful interventions. One of his earliest articles on this subject was published in the
279:
Beyond his purely medical and administrative accomplishments, Maurice McGregor is known for publicly addressing difficult societal questions. His letters and op-eds have appeared regularly in leading medical journals, as well as in mass media outlets.
228:. Within this service, McGregor studied less invasive ways of measuring cardiac output in children, in collaboration with Paul Sekelj, inventor of one of the first whole-blood oximeters that could be used clinically.
223:
After settling in Montreal in 1957, Maurice McGregor helped establish and co-directed the joint Cardio-Respiratory Service affiliated with two of McGill's teaching hospitals, the Royal Victoria Hospital and
188:
in Johannesburg in pursuit of a medical degree. Upon finishing medical school in 1942, he entered wartime service in Italy as a physician with the British 8th Army and the US 5th Army (1943–46).
679:
Website of CADTH, a not-for-profit organization that provides healthcare decision-makers with objective evidence to help make informed decisions about the optimal use of health technologies,
287:, McGregor outlined his opposition to the indiscriminate boycott of all South African educational institutions, pointing out that some of them were in fact developing non-white academicians.
163:(born 24 March 1920) is a South African-born cardiologist, academic leader and public policy advocate who has had a major impact on the practice of medicine, working largely from his base at
480:
peers about organizing medicine as an essential service available to all. This info derived from Maurice McGregor's CV, updated 2020, online at McGill University's Division of Cardiology,
466:
McGregor co-authored nine peer-reviewed articles Paul Sekelj from 1954 to 1965, according to Maurice McGregor's CV, updated 2020, online at McGill University's Division of Cardiology,
267:
In 2014, the Canadian Agency for Drugs and Technologies in Health created the Dr. Maurice McGregor Award to honor the next generation of experts in health technology assessment.
301:
published McGregor's point-by-point rebuttal to a stance taken by a deputy editor in favor of public and patient representation in designing clinical research trials.
1015:
402:
Fitterman, Lisa, "Margaret Becklake, 96, fought apartheid fiercely before becoming an award-winning epidemiologist in Quebec," Globe and Mail, 02 November 2018,
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125:; Chevalier de l’Ordre national du Québec; Prix ″Maurice McGregor,″ Agence d’évaluation des technologies et des modes d’intervention en santé
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country had deteriorated due to the entrenchment of apartheid. This motivated them to emigrate to Canada with their young son and daughter.
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are coming in. The bill is too high, and yet the demand for universal accessibility to the best health services is nowhere near satisfied.
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Maurice McGregor was raised by parents of British origin on a small farm in northern South Africa. His foundational education was at
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980:
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expensive equipment, drugs, and supplies into the healthcare market. He also became the chair and editor of Canada's
232:
1040:
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143:
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404:
https://www.theglobeandmail.com/canada/article-margaret-becklake-96-fought-apartheid-fiercy-before-becoming-an/
160:
898:
185:
494:
McGregor, Maurice (October 1975). "Cardiology in a system of socialized medicine: Canadian experience".
923:
1030:
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He co-authored a letter addressing the benefits and harms of breast cancer screening, published in
935:
A mini-bio of Margaret McGregor can be found on the Vancouver Coastal health government website:
955:
197:
377:"Happy 100th Birthday, Dr. McGregor!", Med e-News, McGill Faculty of Medicine, 15 June 2020,
629:
Shear, Mervyn, WITS: A University in the Apartheid Era, Witwatersrand University Press, 1996
960:
937:
http://www.vch.ca/about-us/leadership/board-of-directors/board-members/dr-margaret-mcgregor
343:
Maurice McGregor's CV, updated 2020, online at McGill University's Division of Cardiology,
304:
In May 2019, at the age of 99, McGregor penned a letter to Canada's leading news magazine,
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8:
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McGregor, Maurice (16 April 1987). "Apartheid and the Academic Boycott of South Africa".
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Mr. Maurice McGregor, Order of Canada, The Governor General of Canada, Nov 16, 2010,
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invited speaker, he has given 94 presentations at conferences held around the world.
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https://publications.mcgill.ca/medenews/2020/03/27/happy-100th-birthday-dr-mcgregor/
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McGregor, Maurice (12 January 1989). "Technology and the Allocation of Resources".
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418:"Respiratory medicine and research at McGill University: A historical perspective"
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McGregor went on to become head of cardiology and then physician-in-chief at the
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McGregor, M. Angiography: a new cassette changer. Br J Radiol 1949;22:459-461.
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613:"Dr. Maurice McGregor," McGill University Health Centre bios, 10 June 2010,
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https://www.macleans.ca/opinion/the-snc-lavalin-saga-aarggh-enough-already/
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308:, in rebuttal of an essay that rationalized cheating. McGregor wrote:
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https://rotarymtl.org/speakers/f6642c24-81f0-4ece-8fdd-3ea81365885b
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Hanley, James A.; Liu, Zhihui; McGregor, Maurice (9 March 2013).
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award, conferred in 2010 by the Governor General of Canada.
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For instance, in a piece published on 16 April 1967 in the
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cardiology, medical education, health technology assessment
69:, medical academic dean, university v-p, physician-in-chief
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https://muhc.ca/health-info/article/dr-maurice-mcgregor
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McGregor, Maurice; Becklake, M.R. (2 February 1974).
191:
Returning to Johannesburg after World War II, he met
897:McGregor, Maurice, Letter in MacLeans, 1 May 2019,
802:"The benefits and harms of breast cancer screening"
851:"Against patient involvement in clinical research"
912:https://www.gg.ca/en/honours/recipients/146-16091
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692:"The Dr. Maurice McGregor Award," CADTH website,
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947:
922:A mini-bio of James McGregor can be found here:
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361:https://www.gg.ca/en/honours/recipients/146-2270
210:From 1954 through the early 1960s, McGregor and
1016:Military medical personnel of the United States
694:https://www.cadth.ca/dr-maurice-mcgregor-award
249:Guidelines for the Management of Breast Cancer
991:Canadian university and college faculty deans
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416:Martin, James G; Schwartzman, Kevin (2015).
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482:http://www.cardiomuhc.ca/maurice-mcgregor
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102: 1948; died 2018)
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849:McGregor, Maurice (21 February 2017).
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855:Canadian Medical Association Journal
645:Canadian Medical Association Journal
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299:Canadian Medical Association Journal
976:Academic staff of McGill University
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496:The American Journal of Cardiology
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986:South African emigrants to Canada
233:Royal Victoria Hospital, Montreal
1011:20th-century Canadian physicians
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639:McGregor, M. (4 December 1971).
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16:Cardiologist and academic leader
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226:Montreal Children's Hospital
146:(Johannesburg, South Africa)
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971:South African cardiologists
779:10.1056/NEJM198704163161610
720:10.1056/NEJM198901123200209
641:"The McGill responsibility"
186:University of Witwatersrand
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1021:South African centenarians
939:. Accessed 13 October 2020
910:Order of Canada citation,
531:"Strike and the physician"
901:, accessed 20 August 2020
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381:. Accessed 20 August 2020
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347:. Accessed 11 Oct. 2020
184:. He then attended the
1041:Alumni of Michaelhouse
696:. Accessed 20 Aug 2020
297:In February 2017, the
198:American Heart Journal
1026:Canadian centenarians
168:achievement" with an
867:10.1503/cmaj.732496
435:10.1155/2015/829760
294:, on 9 March 2013.
182:Michaelhouse School
134:Academic background
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806:The Lancet
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320:References
292:The Lancet
275:Philosophy
176:Early life
55:Rustenburg
44:1920-03-24
306:Maclean’s
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