Alberta Province in Canada pretty well administers its own program, although there is federal as well as provincial funding.
The major gripe is with elective treatments. The province has severely trimmed its budget.

An example is Cateract eye surgery, which is limited to a certain number. The number has been cut from over 10,000 to 8500. To get the free surgery, Alberta patients end up on a waiting list, now estimated at about one year. The clinics have the staff and time to do more, so paying patients from other provinces and the States get their operations done quickly. The alternative for Alberta patients with money is to go out of the country.
Wait times soar

The quota system applies to several procedures. Many elect to pay approx. $800 for an MRI rather than wait their turn.