When the government pays the bill the government will control (ration) the care. For years Canadians have been coming across the US border for health care that is either not available or available only with a long wait back home. Both a Canadian MP and the Premier of Newfoundland caused a furor when they went to the US for their medical treatment
Ya like the Ambulance at the ready to bring heart patients across the Ambassador Bridge to Detroit's Hospitals. And the Preme's over in Buffalo coming across from Canada, because they don't have the specialties.
I hate when these authors pee on my leg and tell me it's raining.
Funny thing is a gnome tells me his Canadian friends no longer rely on the US as their blow off valve for care ( auto contractors coming across daily ) as Obama has messed us up so much Canada is a better choice for some.