I think it depends what Province you’re in. This is pretty much the Ontario standard from what I’ve seen.

I'm in Ontario... Golden Horseshoe. My last ER visit the place was nearly empty, I was in and out pretty quickly. The last time I saw folks waiting for a bed in this area was during Mike Harris' reign of terror. Yes, there are under-served areas/specialties - around here it was eye surgeons for a while. Will there be occasional delays? yep. Is it a smouldering ruin? not even close.