I wish I could be more helpful but I'm totally at sea with the Canadian system. My son lived there and was in love with it. OTOH, an old friend whose daughter lived there blamed her death from cancer on the system, because of the long delay in treatment. As I've posted before, I forewent surgery, but that more based on age than anything else. I'll be 86 later this year and the tumor was contained in the esophagus, so I decided to roll the dice. I hope you can find some answers and I'll be thinking and praying about you...