What’s the Canadian word for ‘lousy care’?

“Now, I appreciate that any doctor who ends up working the night shift at a provincial hospital in Nowheresville is unlikely to be at the top of his game, and you can’t judge a country’s healthcare on his piss-poor performance. And nor should all of Canada be judged on Quebec, which is full of idealistic, language-Nazi lunatics.

But I can say this.”

h/t RM