Except for the lack of copayments, every single citizen and resident is a “client”, there are no higher premiums for those more at risk (or any premiums at all), there is no profit, and it is entirely funded through tax dollars.
There are profits. Every doctor is a business that bills the health care system. Private insurance for basic coverage is prohibited but one can purchase supplemental coverage for things like drugs and private rooms. The system still negotiates with providers to purchase services and this is not one-way.
When Canada needs to improve, such as the former complaints about wait times, they purchase the improvements from the marketplace.
So in this regard it is a somewhat free market system albeit carefully controlled. Basically it is about shared risk. Canadians are required to share in the cost of basic but comprehensive services to keep the price down for everyone.
But no matter. To consider everything the government purchases "socialism" is absurd. The federal government purchases fighter planes and controls the means of production through security laws. The F-35 that the US and UK can purchase may not be the same one that SA can purchase. And some can't purchase it at all.
Socialism is a macroeconomic term. To use it to describe one industry is incorrect.
"We won with poorly educated. I love the poorly educated." Trump.
"I could stand in the middle of Fifth Avenue and shoot somebody, and I wouldn't lose any voters, okay? " Trump
The American dream is about freedom. Pelosi