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Canadian here.
All my prescriptions are paid out of pocket but it's not very expensive. 4 different pills is around $300 to $400 a year.
All tests and lab work are zero cost as is doctor visits.
Here in Nova Scotia, we have a doctor shortage so Registered Nurses were assigned their own clinics. Imho, my nurse is giving me better care than any doctor I've been to. They take the time to listen and are very knowledgeable. Doctors just want you in and out so they can see any many patients as possible in one day (it's how they make money in a private practice).
Wait times at the ER takes longer than it did pre-covid. I had an issue years ago. All the walkins (I didn't have a GP at the time) were full so I went to the ER Saturday morning. I was back home within 4 hours and that was after waiting at a pharmacy to get the prescription filled.
Two years ago, same issue came back. My nurse told me I had to go to the ER. After 4.5 hours I went home without seeing anyone. There was a total of 6 people in the ER's waiting area. Two days later someone from the hospital called and asked me why I left.
Today, we can go to a pharmacy and be treated for a number of conditions without taking up resources at the ER.