OpinionPrivatization by stealth occurs in many ways within our public health care systems across Canada. Ultimately, stealth privatization threatens the universality of public health care by introducing the profit motive to our systems of care. Incentives to work in rural and remote communities, and greater educational opportunities are also needed for all health care workers. Eliminating reliance on for-profit agencies to fill staffing vacancies in health care must extend to other health care staff, including health-care aides, paramedics and home care workers. We cannot allow further privatization to take root and threaten the public health care system we all rely on.