A coupe other points.

The fact that Canada is 1-10th of the population of the US might make this easier to administer, but it still isnt easy.

Often the public healthcare system is not a profitable operation, so the purchase of new equipment, sterilizers, beds, surgical tables, etc. isnt easy. Often a new piece of cardiac equipment makes more headlines and gets the funding, while a sterilizer unit that should have been replaced long ago still has to be repaired and used.

Its kind of like Jakewash's old sub having to be tolerated because he needed to buy the new LCD TV for his better half. Man, I gotta help him out with capital planning and replacing depreciated assets. \:\)