How did Canada’s system work for many years by forbidding physicians and patients from contracting with each other for money outside the national sys- tem?

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How did Canada’s system work for many years by forbidding physicians and patients from contracting with each other for money outside the national sys- tem?

How did Canada’s system work for many years by forbidding physicians and patients from contracting with each other for money outside the national sys- tem? Why was this necessary?