Earlier quoted context omitted.
No, it isn't. Public health is just difficult to fund. Especially on a shrinking population.
Yes it is. I live in Ontario. The provincial (conservative) government literally froze the wages of nurses and other public sector workers in 2019 (see Bill 124), creating a massive exodus of nurses and a severe staff shortage. The provincial government doesn't have money to pay nurses, but it has enough money to build a useless highway (see Highway 413) that just so happens to go through land owned by the Premier's…
Sure, just be a socialistic/communist government and be able to finance the pension system while depending on US money (because there isn't any good alternative), once you go too much into debt and deal with IMF, and be sure not to defund important services (like medicine) when they ask you causing bank runs and bankrupcy. Easy, no?
Oh, and make sure there is no corruption that would cause funds to be mismanaged.