i will add anecdata that I know many healthcare professionals in Canada and they are down right burnt out and angry (even before Covid19) about how the system is giving terrible care to people. They want to do a better job but cannot with quotas and rules dictated by the rule makers.

Canada may have better outcomes on average, because it picks up the very bottom (imagine how easy it is to help the bottom quartile of health). But I think it also drops the ball on people who are proactively trying to optimize their health because then the answer becomes "Not indicated, you're not sick enough for us to care", and then it's outright illegal to say "fine I'll pay out of pocket for the care!" (save for going international)