Earlier quoted context omitted.
Guessing based on how things go in the UK: > Profit? Aren’t all of your provincial healthcare systems publicly run and publicly funded? I feel that there are two issues. The directly publicly run parts are only subject to the "efficiency" part. But more and more gets contracted out where it's also subject to profit pressure. > The second is your confederation’s central government is weak. Your provinces have too much…
> Locally managed healthcare tends to beat centrally managed I tend to agree, but the downside to having each province having their own special healthcare system is that it’s hard for them to collaborate like with something as simple as sharing medical records. Also, the central government can’t do things like mandate minimum spending for healthcare and a more consistent floor on salaries for healthcare workers. Over…
Not really. If a few people can move at the margin, that's enough to keep things in equilibrium. Even if no-one's moving, it still creates political pressure if one province is clearly offering better healthcare than another.
> Btw since we’re on the subject, how do Canadians mitigate the long wait for everything healthcare related? Is it common to cross the border for healthcare?
Again just assuming it works like the UK: a few people pay to go private and get treated quicker, some travel to a cheap place for the same, most people deal with it. While you hear about a handful of dramatic failures (partly since, unlike in a private system, there are many people with an incentive to publicise them), by and large the system is actually very good at prioritising the things that are actually urgent.