Drawing from three empirical studies, this article argues that neoliberal policy logic and the medical model have combined in Ontario's health care policy to privilege values, people, professions and most closely associated with the cultural imaginary of elite masculinities. In women's health services decisions, in 9-1-1 emergency medical care developments and in service expansion for those with intellectual disabilities and mental illness, the epistemological biases of these dominant perspectives appear to provide the basis for a masculinization of health care and health care policy.