"A 1999 Gratzer column "Raising the minimum wage hurts the poor it hopes to help" lamented that even "two of Canada's three right-leaning governments have chosen to hike their minimum wages" and that "minimum wage earners are not underpaid but underproductive" Gratzer won $250 as fourth place runner-up in 1998–1999 and won $2,500 as first prize in the 1999–2000 Felix Morley Journalism Competition of the Institute for Humane Studies at George Mason University for his newspaper columns.During his second year of medical school, Gratzer began writing a book about problems with the Canadian health care system but could not get anyone interested.