Eureka Case 25 min Undergrad

The Robotic Wager

You are Elena Vasquez, Chief Medical Officer at Meridian Regional Hospital. A wrong call ties up capital for a decade and shapes surgeons' loyalty.

Meridian competes for complex urology and gynecology cases against two academic centers 40 kilometers away. A vendor is pitching a next-generation surgical robot at 2.1 million euros plus 210,000 euros annual service and per-procedure consumables. Two star surgeons threaten to leave for hospitals that already own one. The board wants growth, but the region reimburses most robotic procedures at the same tariff as laparoscopy, so every case runs at a contribution loss until volume climbs.

You decide whether a regional hospital should adopt a costly surgical robot on thin evidence.

The decision

How should Meridian respond to the surgical-robot proposal?

  • A - Buy now, full price
  • B - Structured HTA and pilot
  • C - Decline outright

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