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Canadian hospitals tend to work on a triage-based system: those in the greatest need go to the front of the line.
So if you're sitting in the local ER with cut finger and an ambulance rolls in with someone presenting with a heart attack, you're going to take a back seat while the ER folks try and save a life.
There are times, especially when family doctors close their offices for traditional holidays, when ERs tend to become over-crowded with non-emergency patients.
Canadian hospitals tend to not have the same level of equipment like MRIs as their US counterparts, but they seem to stumble through.
It's been my experience that people with truly serious problems generally get prompt and proficient service.
As an example, a customer of mine recently suffered a serious heart attack in the middle of the night. He was rushed to the local rural hospital and diagnosed. Within 45 minutes he was again placed in an ambulance and taken on a high-speed run to a regional heart center where he underwent a quadruple bypass at 3 am. The surgeon told the customer's wife that her husband would not have survived another 24 hours. Today, he has been transferred back to the hospital closest to his home and is recovering well.
Availability of health care varies from province to province, and from urban areas to rural areas.
Could it be better? Sure.
Do Canadian doctors occasionally screw up and misdiagnose? Absolutely.
Overall, though, the system does a pretty good job of ensuring that everyone has access to necessary services.
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