I don't think the Feds or the Premiers have a clue how to make meaningful changes / decisions for health care as transfer dollars never seem to "trickle down" to the front line hospital staff.
The 4-5 hour emergency wait time at a hospital (unless you show up after 10 p.m. at night), then see your doctor, then the 2-5 month wait for any required specialist appointments, add in the escalating costs to run hospitals (equipment, heating, cleaning, professional staff, and high priced administrative staff), is it no wonder that people who can afford a private clinic, or travel outside Canada, are finding the cash to pay for the privilege of having their health care testing and treatment protocols provided in one or 2-3 days/weeks.  
The amounts of transfer payments go up, but the services don't seem to change at all...instead we experience more and more staff cuts and closing of beds while frail, ill seniors, often have no place for treatment other than in the hospital.