Late Stage Capitalism
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It is even wilder when one considers how challenging the Canadian Healthcare System actually is to run. They are on the hook to provide every citizen duty of care over a landmass 1.6% larger than the entire US. It regularly employs helicopter ambulances for access to remote communities and has exceedingly challenging terrain and despite this Canada has lower infant mortality, maternal mortality and longer life expectancy outcomes. On the Numbeo Health Care index which ranks quality of care, doctors and facilities it outpaces the US on that metric too. The Government run Medical Services Plan also covers partial on things like Massage Therapy visits, physio appointments and various services covering based on income so more people have access to those services at affordable prices.
It does all of this on an income tax base that charges 4% less than that of the US. It's a monumental effort keeping it afloat. The amount paid to insurers in the US, not even the system just insurance is just mind-boggling from a Canadian perspective.