As a start, that means that your costs have substantially increased to provide the same amount of healthcare as before. That makes the funding problem bigger. I

As a start, that means that your costs have substantially increased to provide the same amount of healthcare as before. That makes the funding problem bigger. I'm not sure how it is in Canada, but the NHS in the UK employs about 1.4 million people - and a lot of the problems with it are actually problems with our social care system being broken and leaving it nowhere to discharge patients to, which accounts for another 1.6 million workers. The UK's population is about 70 million people in total, a reasonable proportion of which are either too young or retired. This is only going to get more daunting as the population ages here and in other western countries, and as new treatments are developed and healthcare expectations increase. On top of that, the real economy's capacity to supply workers with stuff to buy with their income is in deep trouble worldwide right now and everyone is feeling it. That means real wage drops across the board and real damage to the ability to actually fund something like this.