This is a huge difference. Plus, even if you do end up paying a similar amount in Canada because you’re very well off (boo-hoo), you also don’t have to deal with the US insurance companies that cannot even accurately tell you which facilities are in network or whatever. It’s just so much simpler and the mental burden of dealing with health care is much less in Canada. You don’t have to worry about massive surprise bills or insurance not covering treatment you receive… It’s just not an issue.