All of your characterization of the Canadian healthcare system nearly equally applies to the U.S. There are many older hospitals here with broken equipment and

All of your characterization of the Canadian healthcare system nearly equally applies to the U.S. There are many older hospitals here with broken equipment and which become easily overwhelmed. As for unsophisticated but well intentioned provincials that is a problem here as well. My own uncle passed from a cancer which was diagnosed as non-aggressive by a rural for profit hospital yet later rediagnised as extremely aggressive at a more sophisticated facility 2 years later shortly before his death. Geography and demographics create provincialism, organizational structure obviously has an impact on how we respond to that difficult problem but regardless of if a healthcare system is for profit or not, a nation is simply not going to commit the same resources to rural areas. To my mind, the more surprising thing isn't how different the problems of American and Canadian provincial care are but how much the same they are. Regarding > Governments are not this sophisticated or operationally nimble unfortunately. I don't know that this is true. Governments collect and act on a lot of public health information.