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I also think without the US next to Canada the Canadian healthcare would be worse.
there are a lot of Canadians who come to the USA to be treated as well as other countries
Medical tourism is big.
Smaller countries performed better (both in size and population). Those with centralized government health did better (Canada, each province handles their own health). Lot of other intresting info in the whole report (http://www.troymedia.com/Reports/Health_Consumer_IndexEMB.pdf (broken link))
"Some indicators seem to reflect national and organizational culture rather
than formal legislative or financial circumstances. Waiting times, usually
considered to be of vital interest to healthcare consumers, seem to be one
such area. The existence of waiting times is strongly correlated with regulations
that force the patient to access specialist care by going through a primary care
procedure to get a referral to a specialist"
US Private care wouldnt do much better. Maybe even a whole lot worst.