If they were "guaranteed care up here" what are they doing in Buffalo? It seems like the "guarantee" of Canadian medical care was pretty worthless. Canada was only able to fulfill their "guarantee" because of the mean old USA.
In British Columbia, the “guarentee” includes contracts between hospitals in Seattle and the govt of BC for so many heart procedures, so many high risk births, so many neurological emergencies, etc per year.
Even with these contracts, British Columbians disparage the American system because it is ‘profit-based.’
They just do not get it that medical personnel are not slaves to the government, and will not always be present when needed in Canada.