The public financing system, unofficially known as Medicare, consists of several different systems managed by each province or territory. The federal government distributes funds to the provinces for healthcare providing the provinces design their systems to meet certain criteria which they all do. Most people receiving care in Canada do not pay for their care beyond a monthly charge scaled according to family gross income. The medical provider gets paid a fixed fee for the care provided. The law bans the medical provider from charging patients to supplement their income from Medicare. Medical care providers can set their own fees that are higher than the Medicare reimbursement fee, but the patient must pay all the cost of care, not just the excess.