After more than a decade practicing emergency medicine in the United States, I very recently began working shifts in Canada. The differences hit me immediately, and are profound.
What follows are a series of working hypotheses — early impressions shaped by firsthand experience and years of health policy work in the U.S. I expect they will evolve with time, but they already point to important contrasts in how both countries approach medicine, physician autonomy, and the doctor-patient relationship.
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