07/09/2025
Everyone says "Canada's healthcare system is broken" but most don’t actually dig into why. Canada’s healthcare isn’t public in the way people think—it’s publicly funded but privately delivered. Doctors are private contractors. Clinics are private businesses. Hospitals are run like corporations. The government just pays the bill. So, yes—just because they bill the government doesn’t make them public in behavior or motivation. The system pays per visit, per procedure, per diagnostic code. There is zero financial incentive for prevention, follow-up, or long-term results. The more they see, the more they make. Time equals money. Quantity equals profit. And because most physicians are self-employed under this structure, they’re stuck in that model whether they like it or not.
“Broken” really means overloaded and unaccountable. Wait times are extreme—not because of lack of funding alone, but because there’s no structural efficiency. There’s no consequence for bad outcomes, no penalty for wasted time or misdiagnosis. The system is bloated with admin layers, gatekeeping, and bottlenecks—all while patients get sicker waiting.
Just like in traffic, people are frustrated by the delays without realizing they’re part of the volume. But the system was designed to encourage dependence instead of self-management. Example: endless repeat visits for prescriptions or referrals that could be handled more efficiently—but aren’t, because that’s how the money flows.
Canada’s healthcare isn’t broken because it’s “too public.” It’s broken because it’s a public payer system feeding a private incentive structure that rewards throughput—not health. The fact that billing goes to the government is irrelevant—if the behavior is profit-seeking, it functions like a private system. People waiting 18 months for surgery while providers bill millions for appointments that solve nothing—that’s the result. The system isn’t “overwhelmed by demand,” it’s designed to prioritize transaction over transformation.
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