It is a problem regardless of place of residence. However, Ontario is not representative of Canada as a whole. Each province is better/worse as far as aspects of care are concerned. We can’t cross provincial borders to access the best cancer care available; there are many systemic barriers in place— wait lists for diagnostics, lack of clinical trials and doctors not up on the best treatment options before you are enrolled for the “free in hospital treatment “, much higher tax rates, often no available second opinions. That is not to deny that some patients get what they need at little out of pocket costs. It’s just that it depends on where you live in Canada and it appears that more patients than ever fail to be diagnosed in time for life saving treatments to work. We don’t really have a national healthcare system to speak of and do not share a common experience. In that we are no different than what seems to be happening in the USA. Care is becoming more and more expensive and fairness in cost sharing difficult to define.