I believe our hospitals are all publicly owned. At least here in Manitoba all hospital facilities are run by the RHA’s, regional health authorities. They receive their funding from the governments, provincially I believe, from federal transfers. Each province runs it’s own show though, so there are variations across the country. But I do believe that unless it’s a laser eye surgery clinic, or some special practice flauting the universal system, it’s all publicly managed and funded. Physiotherapy, and some specialties are exceptions. In principle it’s a violation of the Canada health act to provide a covered service privately.
The doctors are still private practitioners, but the principle is single payor. In the case of someone like Mr Paul, they are free to provide service for whatever price, as he’s not covered by the Canada health act. Hospitals will often promote such arrangements, as it’s a great revenue stream.
Nurses and other health care providers and staff are employees of the RHA’s.
I should mention - at the provincial level there are specialty health organizations, like Cancer Care Manitoba, which organize best practices and procedures amongst the RHA"s, sort of like if the Mayo clinic directed therapies and protocols regionally. The system works quite well.
Of course, never as good for someone like Mr Paul, who can lay down any amount of cash to be served first, regardless.