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Canada has a private market for the provision of health services, and until about 1970, spent the same % of GDP as the US on

Canada has a private market for the provision of health services, and until about 1970, spent the same % of GDP as the US on healthcare. Since that time, however, the rate of healthcare inflation in Canada is far lower than in the US. Does this mean their system is better? 

What is the chief reason behind this better performance? 

Does this mean that the US system is wasteful? 

Could the US duplicate Canada better performance?

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