Canada has a national health care system and we don't. While I have often wished we had such a system in the US, we have to consider the essential character of these two distinct societies.
Canadians are nicer than we are. Canadian are more willing to wait patiently in line. They are less rambunctious, less aggressive, and not quite as noisy as we are.
I'm looking at the American character and realizing that we have to have something entirely different. I'm not sure what that is, but I just know that the Canadian system won't fly down here.