As one highly respected health care analyst has written in CMAJ, "Canadians [should] re-embrace the core concept of a universal health care system in which the vast majority of services are provided by non-profit institutions with public accountability."5 So yes, we should ban kickbacks and limit self-referrals. But if we really want to get to the root of the problem (and perhaps improve quality at the same time), we should encourage policymakers to prohibit for-profit independent health facilities from providing medically necessary care.
Irfan Dhalla
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