It shows you stupid, petty, impractical and anti-citizen algorithm/brain of bureaucracy. But stupid and anti-human brain of bureaucracy aside, from immigrant's stand point if you are not present in Canada, then why would you need Canadian Medicare? And, as soon as you are back to Canada you can have your medical coverage, from day one, if you arrive to Alberta. PR just shouldn't go to "this is dog eats dog world" Ontario, they should go to Alberta and should be fine there.
P.S. I bet, with fewer immigrants whom Canada views as sub-humans , the government services in Alberta are still half decent. I have seen similar, ugly tendency in the US during the last decade: first, they made propaganda about diversity, acceptance and embrace of people of all cultures, races, ethnic backgrounds and etc. But then, the moment this paradise on Earth materialized, you saw how government's face changed. Where cops used to greet you with nice smile every morning, now you have militarized SWAT teams. Where the social security employee used to smile at you in the morning, now you have barking dogs who give you orders and never deliver a service. Your parking lots get overcrowded, can't have a spot to stop to go grocery shopping. Your social services deteriorate. Your schools become the last place you want to send your kids to. And you have to wonder, what all this propaganda of equality is about? In any event. Alberta is still Ok to move as PR, and you will get medicare from day 1 (unlike Ontario).
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