Yes, have a look at Singapore, Taiwan and Japan for better outcomes at far less than what we spend.  But the real elephant in the room is comorbidities related to poor lifestyle choices.  My soon-to-retire GP lamented that probably 60% of his patients have preventable and reversible conditions if they would only follow proper diet and exercise regimens.  My experience in workplace disability management saw younger and younger people being totally disabled due to uncontrolled diabetes, heart disease, cancer and people being just too big to do their jobs.  And my GP was fearful for the amount of resources being eaten up by the drug addiction epidemic.  Morbid obesity is under 3% in Japan and hitting maybe 30% or more here?  With no skin in the game, people in Canada just won't listen to what they should do.  They want a "free" and easy pill to cure all.  Time for a really big conversation about prevention and responsibility.