In their commendable efforts to keep the x-ray clinic in Richmond, Ontario, open,1 Drs. Lucy and Rod Rabb have come up against the hard reality facing most community-based radiologists in the province. The Ontario Health Insurance Plan's facility fees, which are meant to cover the operating costs of a radiology clinic, are insufficient for this purpose unless the clinic is operating at full capacity. As are the Rabbs, many radiologists in Ontario have been subsidizing these costs from their professional fees for years.2 This situation has led to the closure of many small x-ray offices across Ontario and the concentration of operations in larger referral centres where economies of scale can be found.