It's pretty much two-tiered now...socialized, no. Some premiers from the provinces over the years had quietly gone to the US to consult with business bigwigs on how to privatize our health care system. The answer was to do it incrementally, by first creating health authority boards and letting them control the regions with little to no government oversight. This started happening about 25 years ago give or take.
The result is a freaking mess that costs the Canadian taxpayer far more than it should, with the money going to other than direct health care to patients, adequate support staff hirings and contracting-out of various hospital service. Audits across the country are sorely needed, ASAP, and I have been blogging for those audits for years.