Some time ago I took my wife to Sloan Kettering, where she was diagnosed with stage 1 breast cancer (she's still in remission 8yrs later PRAISE G-D ALMIGHTY!). In the waiting room we were literally surrounded by people from the Great White North and from across the pond. More recently on of the emirs from Saudi Arabia flew in to Mt Sinai for emergency open heart surgery done by a "nice Jewish doctah"
We know a man who used to run focus groups for MDs. He retired, and a couple of west coast heart by pass centers offered him a ton of money to do focus groups in Canada for primary docs. The goal was to get them to send patients to the hospitals he represented. He retired again, after making a ton of money.
Every once in awhile, we hear about a rich Saudi or an Opecker Prince or a Latin American dictator in need of a heart transplant for themselves, a family member or mistress. Flying into a local airport getting on an ambulance or helicopter and taken to a heart transplant facility for a new heart. No waiting on a list. Of course that wouldn't happen would it?