Quercioli et al (2012)’s study on the relationship between investing in private health care and mortality does not come to clear conclusions about the best course [1] . The results show investments in public sector health services is associated with a 1.47% reduction in ‘avoidable’ mortality. Investing in the public-sector is more cost-effective, and achieves faster results. The rate of return from private investment is slower.  Privatisation is not necessarily best for maternal care.  [1] The research was carried out in Italy.