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 - Diagnosing Engine Difficulty - Diesel Tractors - by Staff. The following suggestions are listed for your assistance. You can make simple adjustments on your tractor that will improve its operation and save you the time and expense of hiring someone to do it for you. Always make one adjustment at a time, and if the adjustment made does not improve the condition, return to the original setting before proceeding to the next adjustment. Hard Starting Cold air temperatures. Insufficient fuel.
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