And drugs of course. But that's not really' two tier' per se, that's more like Co-existing private and public. Or a dual system. Usually when people speak of two tier they mean that for the same services you have the basic tier for one group recieving specific services and then another for another group - an example would be your hip replacement. One group of 'commoners' gets it free but waits, the other pays a few bucks more and jumps the line.Actually, Canada has a two-tiered health system, that even our government acknowledges which is why the NDP wants the government to cover more serices. Chiropractors, Physiotherapists, Dentists - are all private so if you have no private insurance, you pay out of pocket. But Private insurance usually cover about 80% (some 90%) of that actual cost - the rest is out of pocket.
To a degree we DO actually have that, for example wcb often gets its injured workers to the head of the line, but it's still gov't. So it's not REALLY two tier, it's just that some people are more equal than others
It's a semantics game but an important one.
at the end of the day for the purposes of this discussion tho it boils down to the source of the money - is it free market or gov't? The free market creates wealth, the gov't must tax wealth to provide whatever it's doing and free market rules go out the window. Taxes do not create wealth, they're a drag on wealth that's already been created, so if employment is rising faster in the gov't paid services than it is in the free market, that means the drag on the free market has to increase and that's a sort of death spiral.