I took a class on health care last year. US spends more than Canada as a percentage of GDP in health care. I live in Canada, and at the moment, if I get an illness, the waiting periods are huge. I can't compare with the US since I've never been to a hospital/clinic there. From what I saw they were both inefficient but Canada's was inefficient because of mismanagement and US was inefficient because of dishonest HMO's.