Canada doesn't have a government-run system.   It has a private-care system (doctors are "entrepreneurs" you see!!!!)  that is funded under the Canada Health Act through cash transfers and, also, through a form of "moral hazard".   Government pays the bills, drug companies, doctors and others reap the benefits.  The patient loses out completely through a distorted and disorganized system.

Adam Smith would be completely unimpressed with what goes on in Canada were he alive today.   It's a non-sensical mishmash where the taxpayer is ultimately paying taxes to be scr*wed royally in the form of poor healthcare "product" and "services" by people abusing their positions of power and knowledge.

The system as it is structured today relies on ethical behaviour to function well.   Well, unfortunately, ethics are in too short supply these days, especially where there is "money, money, money" involved.