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 - Restoration Story: Fordson Major - by Anthony West. George bought his Fordson Major from a an implement sale about 18 years ago for £200.00 (UK). There is no known history regarding its origins or what service it had done, but the following work was undertaken alone to bring it up to show standard. From the engine number, it was found that this Major was produced late 1946. It was almost complete but had various parts that would definitely need replacing.
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