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June 18, 2003

Quality of Care in Profit vs Not-For-Profit Dialysis CentersQuality of Care in Profit vs Not-For-Profit Dialysis Centers

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;289(23):3087-3088. doi:10.1001/jama.289.23.3087

To the Editor: Dr Devereaux and colleagues1 acknowledged the ongoing debate in Canada about the optimal mix of private and public funding of health care expenses. However, we disagree with their characterization of this debate as between private for-profit and private not-for-profit entities. In fact, the majority of hospital-based care in Canada, including nearly all dialysis, occurs in public not-for-profit institutions. While nominally independent, Canadian hospitals generally receive almost all their funding from provincial governments and are administered by boards that must answer to them.2 In our opinion these hospitals function as public institutions.

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