Originally Posted by Unregistered

By two-tiered, do you mean private vs. public medical systems?

Although the Canadian government hates to admit it, there is actually also a two-tiered system in Canada albeit not as rampant as Singapore or USA.

Those who are willing to spend, or those in high powered positions (think Wall Street of Canada) frequently subscribe to private medical clinics which offer the opportunity to see specialists and have procedures done without having to wait several months, full body imaging and a whole range of personalized screening tests on a yearly basis.

We can debate the utility of detecting incidentalomas or false positive tests, but these individuals are undoubtedly receiving a superior, personalized medical care compared to the average Joe. Private healthcare is especially rampant in Quebec and British Columbia.

No matter where you are, there will always be a two-tiered system. The more fortunate will always find a way to get around. This is life. "If you can't beat them, join them".