Scott:
=============
And provincial governments are controlled by the federal government.
Otherwise, provinces could opt out of the national health care system.
They
can't.
===============

Allow me to help you tear another page out of your encyclopaedia of
ignorance:

[source: http://encyclopedia.laborlawtalk.com..._%28Canada%29]

"The term medicare (in lowercase) (French: assurance-maladie) is the
unofficial name for Canada's universal public health insurance system.
Under the terms of the Canada Health Act, the provinces provide all
residents with health insurance cards, which entitle the bearer to
receive free medical care for almost all procedures. Patients are free
to choose their own doctor, hospital, etc. Health institutions are
either private and not-for-profit (such as university hospitals) or
state-run (such as Quebec's CLSC system). Doctors in private practice
are entrepreneurs who bill the medicare system for their fees."

Does that help?

frtzw906