Primo Numero Uno wrote:
When I went on vacation in Costa Rica there were several retired Canadians I met who were retired living in Costa Rica because the health care in Canada is so bad. What does that say about your system that people are moving to third world countries for healthcare reasons?
America's healthcare system eats up way more money than it should, this is undeniable. We also spend way too much on end of life care. But if you have a serious life-threatening disease, it is way better to be in America than any of the socialized medical care countries.
This is a bit of a generalization, but a lot of the time when people go to other countries for medical care it's because they want something done that isn't approved by Health Canada but it wherever else because they more lenient standards of evidence/oversight. I see a loooot of folks going to Mexico/Florida/whatever to get "cancer cures" from shady pseudoscience clinics that are giving them vitamin pills or something. This sort of thing still exists in Canada, but some of the worst of it is outlawed.
Another aspect of it is people wanting to get something done that won't be prescribed to them by a reasonable doctor in Canada because it has a low likelihood of success or is inappropriate (but the person reaaaaally wants it!). Medical tourism isn't going to say no to their money for their spine surgery/hip replacement/whatever, even if it's actually a bad idea for their specific case. This seems to be likely for the "retirees in Costa Rica" case you cite.
In some rarer cases, someone has a very niche procedure that can only be done by a few doctors in the world/requires very special facilities, and those people/facilities just don't happen to be in Canada because it's a small country.