RT Journal A1 Ma S T1 HOspital services in the united states and canada JF JAMA JO JAMA YR 1998 FD August 19 VO 280 IS 7 SP 599 OP 600 DO 10-1001/pubs.JAMA-ISSN-0098-7484-280-7-jbk0819 UL http://dx.doi.org/10-1001/pubs.JAMA-ISSN-0098-7484-280-7-jbk0819 AB To the Editor.—As a physician formerly practicing in Canada and now in the United States, I have the privilege of seeing both systems that were described in the comparison of hospital services by Dr Bell and colleagues.1 In the accompanying commentary, Ms Rice2 stated that "paying out-of-pocket for most health care [in Canada] is not necessary and is relatively uncommon, and the majority of Canadians are willing to wait for most medical services." However, this statement may be misinterpreted.