Baltimore’s prestigious medical centers, including Johns Hopkins and the University of Maryland, stand in close proximity to the city’s asthma hot spots.

Both receive sizeable tax breaks in return for providing “community benefit,” a poorly defined federal requirement that they serve surrounding neighborhoods, according to a new report by Kaiser Health News and Capital News Service that goes on to find this irony:

Hopkins, UMMC and other hospitals collected $84 million over the three years ending in 2015 to treat acutely-ill Baltimore asthma patients as inpatients or in emergency rooms.

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