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===Alternatives to fee-for-visit or service=== Ontario has also attempted to move the system away from bill for service or visit and toward preventive and community-based approaches to healthcare. The Ontario government in the early 1990s helped develop many community health care centres, often in low-income areas, which provide both medical and social support which combines health care with programs such as collective kitchens, Internet access, anti-poverty groups and groups to help people quit smoking. While funding has decreased for these centres, and they have had to cut back,{{Citation needed|date=February 2007}} they have had a lower cost than the traditional fee-for-service approach.{{Citation needed|date=February 2007}} Many of these centres are filled to capacity in terms of general doctors, and there are often fairly long waiting lists and the centres also utilize [[nurse practitioner]]s, who reduce the workload on the doctors and increase efficiency.
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