Canada has a universal, publicly funded healthcare system where about 70% of total health expenditure comes from general taxation of the federal and 13 provincial/territorial governments [25,26]. Ontario is the most populous province in Canada, with almost 14.7 million residents, representing about 40% of the Canadian population [27]. In Ontario, cancer-care services are coordinated by Cancer Care Ontario, a government agency responsible for collecting cancer data, developing clinical standards, and planning and implementing cancer services through 14 regional cancer centers [28].

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