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Ten years ago Johns Hopkins Medicine International, where I am the CEO, joined forces with Anadolu, a Turkish charitable foundation, to build and operate a state-of-the-art medical centre in Istanbul.

The project's success would depend on putting the right executives in place. Hopkins was prepared to draw them from within its own ranks, but Turkish law prohibits non-citizens from running hospitals.

And yet, finding qualified Turkish executives proved impossible. How could we manage a large, complex project in a country whose laws prevented us from hiring the right people for key leadership roles?

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