Living close to Canada I get to hear how their system is not working.

Here are some of the anecdotal things I here:

1.) Just the other day a friend noted of a friend in Canada go tired of waiting for a Vasectomy and came to Michigan and paid cash to get it done.
2.) Another friend asked the specialist attending to his wife about Canadian patients in Michigan. The Doctor said oh yes they come here to get fixed what their system will not spend money on ( read hip/knee replacements etc, where pain is involved). The doctor then noted that they have to "clear the deck" for when the "Brits" fly over so that they can block three days for back to back testing and potential treatment/surgery because of the time issues.
3.) Michigan is a where they come to get fixed what their system won't do. Give us Obama-care and there goes one of the few growth industries in the State.

The question is, if the muck it up for the entire U.S., where do we go to get fixed what we used to do routinely here.