Per capita, the US spends twice as much as Canada on health care and yet their system hasn’t handled this pandemic any better than ours. If you look at the countries that out perform us, all have national systems rather than our Balkanized provincial setup which results in a lot of expensive duplication in many areas.
That’s more political than their healthcare system. If we had the same number of covid incidence per capita than them (they are more than 3x us) our system would’ve fully collapsed by now.