Trauma surgeon Joao Rezende-Neto poses for a photograph holding a working tracheotomy device at his office in St. Michael’s Hospital in Toronto on Wednesday, Jan. 30, 2019. In Dr. Joao Rezende-Neto’s 25-year career as a trauma surgeon, he’s only twice dealt with patients who insisted on forking over big bucks to buy equipment for a procedure. One of the times was in Brazil, where medical technology is far less advanced, and his patient needed a tracheostomy, a procedure involving an incision made in the windpipe to clear breathing obstructions. PHOTO BY NATHAN DENETTE /THE CANADIAN PRESS.

TORONTO — In Dr. Joao Rezende-Neto’s 25-year career as a trauma surgeon, he’s only twice dealt with patients who insisted on forking over big bucks to buy equipment for a procedure

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