Differentiating between Canada and the US on whether health care is a right for citizens is misleading. In each country, all citizens receive some health care. What differs is how we answer "how much health care are citizens entitled to at what cost?" In health care for those under age 65, as in many things, Canada values solidarity more and liberty less than the US. In typically American fashion, I care less about population-level outcomes than I do about individual access, cost, and incentives for responsible behavior. With the growth of retail medicine in the US, prices for routine care are becoming lower and increasing transparent. What US citizens would like is access to pharmaceuticals at foreign prices. Then we wouldn't be shouldering the cost of drug development for the rest of the world. If this sounds too much like free trade of the sacred cow of health care to the authors, would they prefer high US export taxes on US pharma products and intellectual property?