Hence the "generally." And Canada does on a large scale what Medicare does in the U.S. it is a single point of negotiation. This may be good or bad depending o

Hence the "generally." And Canada does on a large scale what Medicare does in the U.S. it is a single point of negotiation. This may be good or bad depending on how well medicare is run. Many are saying that medicare should just be expanded to cover all people, prices should go down.