I have no interest in defending Obamacare or this software company, but there is no one Canadian health care system. There are separate systems in every province that are supposed to run according to federal guidelines (called the Canada Health Act). There are also separate systems for the northern territories, the military and diplomats — a total of 13 separate systems, I believe. The federal government only legislates health care standards; it does not actually manage any of the provincial systems. Individuals and companies do not sign up with any federal entity, and doctors, hospitals, medical labs et cetera do not directly receive any money from the federal government.
So each province taxes and administers their own system, which is policed by the feds?