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My comment is: Don't copy the Canadian system, at least as it exists today. 'Reform' (strange how the word is always presumed to have a positive outcome) up here has become somewhat like Castro's continuing 'revolution', essentially meaningless, a catchword for empowering a self serving cadre. Like all of the other Canadian bureaucracies, the healthcare systems have been overrun by corporate raiders--CEOs etc.--complete with all the trappings and perks that brought GM down. Bureaucratic imperatives have become the driving force; the medical people, who are the only ones who know what's really going on, try to ignore the declining efficiency--the misdirecting of funding-- as much as possible. Steps have been taken to make sure their input is muted. Healthcare's mission is to take off in strange new directions where no doctor has gone before but where fiscal scandal often lies. For example, the present priority is the endless collection of medical 'information' (there's never enouigh) at a cost of hundreds of millions. Meanwhile--damn those pesky patients!--the waiting lists themselves are becoming the subject of studies.