When I lived in Alberta, Canada (as a USA expat circa 2010), it had pluses and minuses. Pluses: The cost was very low; in our province the premiums were nominally $44 CDN per month for an individual or $88 per family, but the windfall from oil production meant they could waive that and it was free. Emergencies were treated quickly and well. Drugs were inexpensive. The doctors seemed competent. Minuses: extreme shortages of doctors, facilities, and services. I could not find a primary care doctor taking new patients, so I had to wait at least two hours each time to see a different doctor at the walk-in clinic. They did not take or keep a medical history, so it was all up to me to know if what they prescribed was contraindicated by other drugs or conditions. Drugs, while cheap, were not covered by insurance, and some were simply not available at any price. Dental and vision coverage were not included and had to be bought on the private market. Wait lists for non-emergency procedures or treatments were ridiculously long, like 18 months to get the first appointment to talk about a hip replacement. Three months to get an MRI to diagnose chest pain.