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It's not. Canada, for example, establishes an amount that they will pay for the year.
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In Canada, health care is under provincial juristiction, not Federal. Every province offers socialized care. Speaking of Canada as one body isn't accurate.
Second, these max incomes are hit by less than 1% of specialists.
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Although it's been a few years since I checked, the orthopedists used to max out around August, and they'd come to the US for the rest of the year, rather than working for free. So if you wanted to break a bone in Canada, you'd better do it prior to August. Also, a mammogram had about a year-long waiting list. Canada doesn't publicize how many of its citizens pay their own way, rather than waiting a year to find out if they've got breast cancer.
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Strangely, Canadian cancer survival rates are higher than the US.
Canada does worse on heart attacks.