That's true. I just said it that way because most people would rightly expect the U.S. has a similar life expectancy to other high income countries, whereas many people (e.g., Americans who've never lived abroad) often make weird assumptions about middle and lower income countries. My mistake. I thought that in B.C. at least that you could get an earlier appointment for things like that if you were willing to pay the whole cost yourself and not have the provincial system pay. No focus. You mentioned a two tier system, I just followed your conversational lead. As for rubbing shoulders with the proles, I don't think it's it's that, I just think people in any country will do what they can to get the best healthcare possible.