Since before it was approved by all the democrats I would tell my liberal friends, “be careful what you wish for.”
There is something worse than this atrocity called “The Patient Protection and Affordable Care Act of 2010” - it will be the single-payer system based on a vastly expanded form of Medicare and Medicaid for all ages and all comers regardless of legality of residence.
For now, Canada, which has a “single payer” health services delivery system, has an escape for some of the more wealthy of its citizens - they can go to the US and have the procedure done, without the intolerably long wait periods that now exist there. Also, there are a number of procedures available in the US which are either not done at all in Canada, or on such a long wait list that effectively, the option does not exist except for a very few who manage to survive that long.
Soon, the Canadians shall no longer have the option of coming to have the procedures done in that territory once known as “the United States of America”.