I have never espoused an American system, I think it is the biggest human rights violation there is.
But having a single tier system enforced here in Canada leaves us far behind most of the rest of the civilized world. People say we do not have a "two tier system", where the rich/powerful get better/quicker health care than anyone else, but that is crap. The whole issue with Lucky illustrates that, and is the reason i started my rant.
We espouse "equal access to health care", but the rick/powerful still skip the line, whether it is within Canada, or by leaving. Every health care dollar spent outside Canada by Canadians is money lost from our system, money that could be used better, more effectively here in Canada.
I have worked in the billing side of the healthcare system, so I know how the money works. Procedures here in Canada are performed at a fraction of the cost of doing the exact same procedure in the US or abroad, our system is more efficient, has no profit incentive and a lower overhead for malpractice. I worked with one of the last private hospitals in Canada decades ago, and they did about 50% OHIP (Ontario Health Insurance Plan), and 50% private, mostly US clients. Their specialty was hernia repair, they were world famous for their special technique which had an extremely short recovery. When asked at a dinner if they charged the same for OHIP and private patients, they blushed, and another doctor familiar with them said... "The OHIP clients come in through the front doors in an ambulance, the private ones come in the back in a Brinks Truck.
My point being, if we embrace a two tier system executed properly, it would enhance the public system with private funding, reducing our healthcare costs overall, improving service and attracting staff with better pay/facilities. It also increases the capacity, allowing for shorter wait times and better outcomes, and better being able to handle unexpected situations.
But any time you mention adding in a private component, the "social medicine" people come out with torches and pitchforks...
We are best served by a hybrid system.
That's it. That's my rant...