Your graph (2015):
United States: $10300
Canada: $4400
Ratio: 2.34
My actual findings (2017): United States: $9250 Canada: $6600 Ratio: 1.40
I think your graph is fake news.
Sources: https://www.npr.org/sections/goatsandsoda/2017/04/20/5247741... https://www.ctvnews.ca/health/canada-to-spend-more-than-6-60...