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What was the biggest culture shock you ever experienced?
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Bread: you are right. It's universally terrible. In larger cities there are European bakeries that are better.
Bland food: Yep. It's a mix of the worst of American northwestern food with bland British food. It's getting better though, especially in BC.
No comment on health care.
Toilet paper is this way in Canada due to so many people living with septic tanks or lagoons, I believe.