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An example of controversy regarding a second chamber has been the debate over the powers of the Canadian Senate or the election of the Senate of France. The relationship between the two chambers varies, in cases, they have equal power, while in others. The first tends to be the case in federal systems and those with presidential governments, the latter tends to be the case in unitary states with parliamentary systems. In the United States both houses of the U. S and this is due to their original location in the two-story building that was to house them. In Canada, the country as a whole is divided into a number of Senate Divisions, each with a different number of Senators, Senators in Canada are not elected by the people but are appointed by the Governor General on the advice of the Prime Minister.

The facts are a little different. In March 1997, 30,100 patients had waited more than a year to be seen.]