Of course many admire the American form of health care. after all it is the best in the world, for one thing, we do not reuse single-use medical devices to save money, best to think of patients safety first. As for moving either to Canada or the U.S., there are a lot of variables involved, job, family, friends etc. Nor are many people willing to change location just for the health care, unless there is something specific one plan may offer over another. (in this case it is only cost and you get what you pay for.) This subject we have beaten to death, and if your happy with what you have then so be it, but without using the U.S. plan other than for emergency care one wouldn't have any idea of what it was. There is nothing wrong with having a user fee, might help recruit more qualified doctors and nurses if it was given to them.