Canada ranks #2 behind the US in a per Capita spending on drugs. This makes perfect sense when one compares the drug mix differences between the countries . In another earlier CIHI document there was a pie chart showing that Canada was 3.8 % of the global spend on drugs . I wonder if that now has increased? That same report showed Britain as having 4.2% of the global pharmaceutical spend . Considering the population of Britain is about 66 Million vs Canada's 33 Million , it clearly displays something is not working.