You assume correctly. There are remote regions where they don't even have hospitals, just basic emergency services. Anyone not treatable there is flown south or to the nearest hospital that can handle it... which brings up a new set of problems if that happens to be either in another province or even across the border into the U.S. I actually need to buy insurance if I go to another province and don't want to end up paying $$$ if I should need an ambulance. The Canada Health Act is a joke. My Alberta Health Card means I'm covered here, and nowhere else, even if I didn't want to be treated out-of-province.
The government is fond of saying "it's too difficult, so we're going to study it" and of course nothing will be done.
The people in the situation where there are no willing doctors available either travel out of the country, end up/continue in palliative care and suffer, or they find a way to kill themselves... and it's neither neat, nor painless as they would have preferred. In the meantime the doctor who refused to help them gets to stick his nose in the air and pat himself on the back for the "good deed" he did.
Referrals are not participation in any way.
"fundamentally degrading people for the joy of evil is a required component"... WTH does this word soup even mean?
What people are being "degraded" other than those being told that "my religion trumps your suffering, so go ahead and suffer - it's good for your soul"?