Management that is as close as possible to citizens is more humane and closer to the real issues. It can also be a form of competition. If British Columbia makes a good move, it can inspire Quebec. If Quebec does well, it can inspire Alberta, and vice versa. This form of competition can become a source of inspiration, and in the end, everyone wins.
When faced with huge problems, such as those experienced during a pandemic, it's better to leave room for some local innovation than to have the ambition to have everything coordinated from afar by the government. In any case, we don't even have the information, since health care doesn't fall under federal jurisdiction, except in the case of indigenous persons and the military. These are areas where there's a lot to be done.
Perhaps the federal government should focus its efforts on the health of indigenous persons and the military.