This paper focuses on an overtly geographical issue; the introduction
of a housing facility for people living with AIDS (PLWAs) into the urb
an landscape. Specifically; we critically analyze the location of Case
y House, an AIDS hospice in Toronto and presently the only facility of
its kind in Canada. Three questions are addressed: (i) how did Casey
House come to exist?; (ii) why is Casey House located at the corner of
Huntly Street and Isabella Street?; and (iii) will Casey House be rep
roduced? In our response to the first two questions, we draw selective
ly upon three perspectives (accessibility, structuralist and humanisti
c) that have been appealed to in analyses of (controversial) :health c
are facility location processes. In the concluding discussion, three r
elevant spheres of reproduction are considered:locational, institution
al and social. In consideration of the obvious constraints on reproduc
tion; we conclude that the creation and location of Casey House may we
ll be a unique geographical event in Canada.