Elective surgery means surgery that can improve quality of life, but is not otherwise life saving right?
Canada also has the lowest number of doctors per 10k, and the lowest wait for primary care.
The US has more doctors, but the highest time to primary care.
I don't know many elective surgeries that can be scheduled without a primary care referring the patient to the surgeon for consult. Not to mention, beside plastic surgery, it's usually a case where the patient has no idea they could benefit from the elective surgery.
That graph is highly misleading.