Trying to figure out what 'Here's a comparison that mostly factors scale out: http://www.indexmundi.com/facts/indicators/SP.DYN.IMRT.IN/co.... - again, the primary intention of the medical system in Canada is equality.' means. Primary intention? Really?
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It's a nationally delivered service and one of the primary mandates is equality; of availability, of quality, etc. So, yes, really. If you're suggesting that this overlooks 'positive medical outcomes' I think you're missing the point.