In "Looking Back 50 Years in Hospital Administration," Graham and Sibbald identify five principal themes in the 1962 issues of Hospital Administration in Canada: the evolution of nursing, funding and legislation, hospital design, patient care and infection control and leadership. These themes are of course consistent with thematic concerns regarding healthcare in 2012; in some ways, this consistency over 50 years is disappointing, but not surprising. This commentary examines some of the specific themes.