This lag in performance is by design. Provinces cannot afford the " bottomless cup"  demands on its health care system. Best way to manage the problem...". supply side it " , simply cut down in number of Doctors graduating that will practice. 
No GP doctor on the North Shore in Vancouver is taking a new patient.... takes 3 weeks to get a family Doc appointment in Mississauga.
Doctors are behaving like anyone else. Absent a meaningful profit motive they elect to take more Fridays off, longer vacations  , to get their work life balance in irder ( can't blame 'em)
Make sure the medical schools take in lots of offshore applicants so they can goose up their tuition fees, send our students to Ireland to go to medical school ( do you know Irish medical schools are full of Canadian young people?) 
Its an insane system of unfillable demand.
The time to istitute some " pay as you play" user fees is well past.
What government will have the courage to tell the great unwashed that the dream is over