As a Canadian, right next door, I'm continually amazed that we can have two polar takes on healthcare and both get it so wrong. In Canada it is an incredibly expensive way to pay for a universal public system in case you personally need it, at which point it's pretty poor quality, especially for new approaches or preventative, non-emergent care. Then in the States you have so many with absolutely zero safety net or primary care, at which we do a better (but still bad IMO) job of, while the well-insured or very wealthy have the most amazing health options in the world. We should both be able to come up with a solution that prevents rural mothers from dying related to childbirth AND gets someone a hip replacement in less than a year so they don't irreversibly deteriorate. Governments on both sides of the border just dig in their heels for political motivations, actual health outcomes not a consideration.