Most of us in the US don't understand that either. How we can pay more per person than any other country in the world and still have well over 1 million americans travel to other countries to get medical procedures done they can't afford in the US. I suspect more americans travel overseas for medical care than canadians travel to the US.

Heck they are even calling it a medical vacation and whole travel agencies set them up for americans to foreign hospitals

No families take so little medicine as those of doctors, except those of apothecaries.

Oliver Wendell Holmes