$1:
Uhm, no. They have a special deal worked out just so Canadians can get to the US hospitals on an ongoing basis. That sounds like there's a recognized deficiency with the Canadian hospitals that needs to be addressed every bit as much as the US needs to address its disaster relief procedures.
Without particulars I can't accurately comment on the deal made. It is worthy to note that since the addition of the casinos the population growth has been greatly accelerated and its likely they made a deal like this out of necessity.
$1:
WINDSOR, Ont. -- An ambulance rushing a heart attack victim to Detroit from a Windsor hospital ill-equipped to perform life-saving surgery was stopped for secondary inspection Monday by U.S. Customs, despite the fact it carried a man fighting for his life.
Its very common for a hospital to send patients to another hospital because they lack specific resources. This isn't a question of inadequate medical care but of the reality of not maintaining round the clock coverage of something you may only get a few patients a month for.
Its cost effective. This seems like the case. Every hospital can't maitain a neurosurgeon on standby just in case they get a head trauma. Its a very effective cost cutting measure for groups of hospitals to form agreements where they divide up areas of responsibility to maintain coverage for with the agreement that each will treat all patients with that injury/affliction in conjunction.
Its also common for hospitals to simply know what they can't do and have ready plans to evacuate casualties to hospitals equiped to deal with things out of their hands.
In Kenora where I worked we had ready plans to air medavac to Winnipeg any trauma that our small hospital wasn't equiped to handle.
Its very common and the only reason this came to our attention is because something happened outside of the well established protocol that threatened a mans life.
I don't see this as a deficiency.
Quite frankly the cost associated with keeping medicare, education, the military, infrastructure, and of course low taxes, at a level pleasing even half the population greatly exceeds the capacity of the country.