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.
I first read about this story in a Mark Steyn post on the NRO blog. He ended by asking where the Canadians will send their patients when the US system fills up-- he asked, Costa Rica? Then he concluded by saying "we now return to your 24/7 Michael Jackson coverage."