Canada is a very large country. Each province, each region, has its own reality. When broad pan‑Canadian principles are established for the quality or direction of health care, applicability on the ground becomes a major issue, whether it's in the provinces or in the regions. They are in the best position to know the reality on the ground and the local or regional characteristics based on the type of population, ethnicities, urban realities versus the reality of intermediate and remote regions.
Canada certainly has a role to play in establishing principles of equity, basic care and access to free health care, but their applicability needs to be assessed by people on the ground. There are too many different realities from coast to coast. You can't have a one‑size‑fits‑all rule.