1. It is vitally important to read the paper and to look at the plots. These reveal a far more nuanced truth than the headlines.

The data clearly show an overall effect of ownership and funding. That is a measure of central tendency.

However, variability and overlap are huge... https://twitter.com/DrSamirSinha/status/1286271343726669824

2. Data on extent of outbreak - recall - mainly mediated by age of home. Cleary some for-profit outliers.

Note however the very significant overlap, especially with nonprofit homes.

3. Likewise for data on deaths.

4. So residents in many (most) for-profit operators did very well, and many in other homes did not.

We know that there are a lot more important determinants of care quality in LTC: e.g.

https://file.scirp.org/pdf/Health20120900027_17745693.pdf

and

https://jripe.org/index.php/journal/article/view/90

5. Another important question relates to the funding for municipal homes, as opposed to the other models. Do municipalities have other means of funding or of linking with other municipal services that others cannot access?

6. Many providers have suggested having renovation and building plans.

If so, where is the hold-up?

Here? https://globalnews.ca/news/7179909/ontario-long-term-care-home-funds-construction/

7. It may be politically attractive to paint the issue of LTC quality in terms of ownership.

We clearly need new buildings but it takes two (or more) to tango.

Our residents however deserve that we consider the other more impactful issues that go beyond the built space.