WASHINGTON-The District of Columbia spends more for public hospitals and healthcare than any other jurisdiction in the country, including cities with similar demographics, said a local government commission. The Mayor's Blue Ribbon Panel on Health Care Reform Implementation said the district in 1994 spent $852 per capita on health and hospital services, more than any other city with a population of 400,000 or more. Some 70% of that amount was paid to city-owned healthcare facilities. The commission recommended the creation of a new corporation that would provide direct healthcare service delivery but would remain separate from a centralized health policymaking arm of the district government. Now, the commission said, public healthcare authority is fragmented in three independent commissions that do not coordinate strategic functions, and have dual roles of healthcare policy development and service delivery.