In Canada, health services only have to be publicly administered, not provided by public authorities. A large part of the publicly funded system is privately owned and operated, starting with your doctor.
There is much wringing of hands these days about the state of the Canadian health care system, as well there should be.
Let me pick that apart. First, there is no Canadian health system, because when Canada was formed in 1867, the federal government got what was then important in politics — foreign affairs, defence, international trade etc. — while the provinces got the less important stuff: health, education, social support, etc.
The only thing that really unites them are the five principles enshrined in the Canada Health Act — if the province is to receive federal funding, the provincial system must be comprehensive, universal, accessible, portable and publicly administered. An important area of confusion is that health services only have to be publicly administered, not provided by public authorities. So insured services can and are provided by the private sector. In fact a large part of the publicly funded system is privately owned and operated, starting with your doctor.
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