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Think of it as "worth the price". Canadian healthcare is definitely worth the price, given that the price is zero. American prices are so high that nothing could be worth that, so it's not even worth the price of an ambulance. Oh, yeah, they charge for the ambulance ride.
Almost everywhere in the world they charge for the ambulance ride. Except, some countries have state funded providers with super low subsidized prices or even free. And the private providers have to compete with that which keeps prices affordable. So using an ambulance is not a bankruptcy inducing event.
I will admit, I did not know that. I'm British, I'm used to it being free. But I looked it up and it seems there's a lot of other countries that also didn't know that. Even if it's charged in their country, it's such a minor amount that they barely even notice, and they don't need to pay if it's an emergency.
Meanwhile, Americans are charged over 100 times what Germans are charged, even in an emergency. And they get billed extra based on the distance travelled.
"The cost of an ambulance" is only an issue in America. It's not normal.