Additionally US health care providers are oriented to providing "customer care" to their patients. Their patients seem to believe that they can participate in any lifestyle they desire and if something goes wrong, like type 2 diabetes or heart disease, they expect the health care system to cure them, hopefully with a few pills. Canadian doctors are far more inclined to tell their patients to lose weight, get more exercise, avoid certain foods, and pay more attention to their own health.
As someone who's been on both sides of the stethoscope here in the US (as a hospital administrator *and* a patient...see Post #20) I can guarantee you that that's the standard of care here as well.A big part of the problem is that all-too-many of us fail to heed such advice.