Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
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.
Blake PG, Mendelssohn DC. Quality of Care in Profit vs Not-For-Profit Dialysis CentersQuality of Care in Profit vs Not-For-Profit Dialysis Centers. JAMA. 2003;289(23):3087-3088. doi:10.1001/jama.289.23.3087