Canadian here, the health care is useable. It keeps being underfunded atleast here in Ontario but you can get it with no cost… just be prepared to wait in ER.

I am displeased with premium these days. My use of premium was to remove ads and give creators a little more money. The issue today is every single video will have a sponsor spot that is an ad. So here I am paying extra to get rid of ads and the creator just made their own. Using sponsor block has become a requirement to get past the wall of ads.