The university pays the Fowler-Kennedy Clinic, which is open to the public, $200 000 a year "to recognize the first priority service" provided to UWO students. The society says this suggests that "some patients are more equal than others when it comes to access" to health care services. "In Canada," it says, "medicare means people do not have to pay for insured services" and the annual mandatory fee of $61.50 paid to Student Health Services may be subsidizing insured services. If this is the case, the students argue, it represents "back-door extra-billing."