In some cases. Part of it is simply size, we are the numbers of the state of california spread out over a landmass bigger than the US. Centres in cities have top notch specialists.
Near us about 4 hours drive is a world class childrens hospital with amazing doctors. They do all the stuff the US speciality centres do but you have to travel to get there and pay hotels etc.
The rural provinces like mine just don't have enough people to support that. 850,000 people spread out over huge area. Biggest city is 100 K or so. Emergency services access means lots of small hospitals spread out, less efficiency of scale.
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Today's Featured Article - Fire in the Field A hay fire is no laughing matter-well, maybe one was! And a good life-lesson, too. Following World War II many farm boys returned home both older and wiser. One such man was my employer the summer I was sixteen. He was a farmer by birth and a farmer by choice, and like many returning soldiers, he was our silent hero: without medals or decorations, but with a certain ability to survive. It was on his farm that I learned to use the combination hand clutch and brake on a John D
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