The two countries had similar healthcare systems before Canada changed its system in the 1960s and 1970s. The United States spends much more money on healthcare than Canada, on both a per-capita basis and as a percentage of GDP. on healthcare was 23% higher than Canadian government spending, and U. government expenditure on healthcare was just under 83% of total Canadian spending (public and private) though these statistics don't take into account population differences. In 2006, 70% of healthcare spending in Canada was financed by government, versus 46% in the United States. Studies have come to different conclusions about the result of this disparity in spending. A 2007 review of all studies comparing health outcomes in Canada and the US in a Canadian peer-reviewed medical journal found that "health outcomes may be superior in patients cared for in Canada versus the United States, but differences are not consistent." 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