I live in a WA state and I personally had met Canadians while waiting for someone to do a lab work such as MRI. In US, you can get your MRI done usually within a week. In Canada, its 4-6 months. If its a tumor, its the difference between life and death. In Canada, its illegal to pay for health care as they have the single payer system, the big gov. So many Canadians who can afford come to the states to get lab work done. They might also get procedure done here as the wait time for surgery could be months. Which by then the cancer could have spread and kill the patient. The Canadian universal health care is notorious here. That is why anyone with brains would say no to government run universal health care.