Shooting Star, one of my closest friends in AZ is from Montreal. She is an ob/gyn nurse practitioner and midwife and her ex husband is a family medicine doctor. Both trained in Canada, althogh my friend did her NP work in AZ. All of their family who still lives in Canada go to private doctors and use insurance from their jobs. I remember, quite a few years ago, one of their parents needed an angiogram, after some heart incident. He was still youngish at the time, and it was going to be a 2 month wait. My friends were frantic, and used connections to get him in with a private doc. I think that in the end, people who have some other sort of insurance from work use it, to avoid situations like this.