By some accounts, only 5-6% of people around the world get the cardiac treatment they need to survive. The rest perish. This statistic highlights the stark need for affordable, quality health care that can be delivered at scale, and a solution to that staggering problem has sprung up in, of all places, the Cayman Islands. Harvard Business School professor Tarun Khanna discusses his case “Health City Cayman Islands” — how a new hospital with a revolutionary cost structure and service model is making a name for itself on an island better known for bright sunshine and sandy beaches.