Because the process is very inefficient. Many logical holes, many things that can be done differently. For example, why would someone do their medical exam if they might be not eligible or refused at the end of the day? Just to pay at least 400$ plus travel cost for overpriced lab results? It would be much more convenient to check person’s eligibility and then ask for the medical exam. Why no one up there thought about that? It’s not rocket science.Yeah I don't understand why Canada has a stupid process