Some suspect that the system is being starved on purpose, to ease an intended transition to the private sector. Unfortunately, that doesn’t sound too far-fetched. As Noam Chomsky posited in a 2011 lecture at the University of Toronto, “The State-Corporate Complex: A Threat to Freedom and Survival”: “That’s the standard technique of privatization: defund, make sure things don’t work, people get angry, you hand it over to private capital.”
The big proponents of privatization efforts and home to almost all of the world's free market cheerleaders benefit tremendously from prior instances of formerly public goods being divvied up and doled out. There is a negative trade off for achieving equal health outcomes with the suggestion for extra billing & privatization -that is, privatization will destroy the principles of the Canada Health Act and make the system unequal and inaccessible

 Countries with the lowest inequalities enjoy high health outcomes.  Norway, Iceland and Sweden are examples.