The most egregious reasoning error in the argument is the authors use of evidence pertaining to university hospitals in this region as the basis for a generalization about all university hospitals. The underlying assumption operative in this inference is that university hospitals in this region are representative of all university hospitals. No evidence is offered to support this gratuitous assumption.
Secondly, the only relevant reason offered in support of the claim that the quality of care is lower in university hospitals than it is at other hospitals is the fact that university hospitals have a lower success rate in treating patients. But this reason is not sufficient to reach the conclusion in question unless it can be shown that the patients treated in both types of hospitals suffered from similar types of maladies. For example, if university hospitals routinely treat patients suffering from rare diseases whereas other hospitals treat only those who suffer from known diseases and illnesses, the difference in success rates would not be indicative of the quality of care received.
Finally, the author assumes that the number of doctors a hospital employs, its success rate in treating patients, the amount it pays its staff, and the profits it earns are all reliable indicators of the quality of care it delivers. No evidence is offered to support this assumption nor is it obvious that any of these factors is linked to the quality of care delivered to patients. Moreover, the fact that doctors in university hospitals divide their time among many tasks fails to demonstrate that they do a poorer job of treating patients than doctors at other kinds of hospitals. In fact, it is highly likely that they do a better job because they are more knowledgeable than other doctors due to their teaching and research.
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