TORONTO — Ask people in Canada what they make of American healthcare, and the answer typically falls between bewilderment andoutrage.

Canada, after all, prides itself on a health system thatguarantees government insurance for everyone. And many Canadiansfind it baffling that there’s anybody in the United States whocan’t afford a visit to the doctor.

So even as Canadians throw shade at the American hodgepodge ofpublic plans, private insurance, deductibles and copays, they holdin high esteem a little-known Affordable Care Act initiative: thefederal Center for Medicare & Medicaid Innovation(CMMI).

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