Following quote from the article should have cleared your confusion:
“Here’s the truth: The establishment of the Medical Care Act of 1966 allowed each province to set up their own “universal health care” programs, much like the states are free in America to do whatever they want regarding this sort of thing. The key word being allowed. (not required)
Of course, we know that universal care has been a disaster for every state that has tried it in the United States. Think Massachusetts.
It wasn’t until the 1970’s that Canada had any sort of nationwide “universal care” and it only covered in-hospital care. Doctor visits and other services weren’t covered.
It wasn’t until the Health Care Act of 1984 that Canada had what has come to be known as socialized medicine.”
The Canada Health Act was passed because ever more doctors were opting out of medicare. This act made it illegal to buy or sell doctors’ services in Canada if you are a resident of Canada. This will happen in the US also but immediately. Doctors must be enslaved for this to work!