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EDITOR,--On behalf of the hundreds of thousands of residents and staff living and working in private nursing homes I take issue with the implication of one of the questions in J Grimley Evans's editorial on long term care in later life: "Should profit making nursing homes join tobacco companies and manufacturers of antipersonnel mines as industries in which decent people do not buy shares?"1 I assume that Grimley Evans has chosen these latter two industries for comparison because they make products that maim or kill people. I know of no evidence showing that private nursing homes maim or kill elderly people. Their rates of admission, length of admission, and mortality are comparable to those of voluntary or state nursing homes, as is shown by the most authoritative survey of long term residential care.2 If Grimley Evans has evidence to the contrary he should
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