Canada and the United States of America (US) have two completely different healthcare systems. In the United States, access to health care is limited to insured people. Health care in the United States is not centralized, does not provide universal access, and has multiple providers and payers. Canada has a publicly funded national health insurance program, implemented in 1966 under the Canada Health Act (the Act) in all provinces and territories (Shi and Singh, 2001 ). The objective of this policy was established as follows: “to protect, promote and restore the physical and mental well-being of residents of Canada and to facilitate reasonable access to health services without financial or other barriers” (Health Canada, 2013, para. 2). . The Act does not constitute a national health plan in itself, but rather establishes criteria related to insured health services and extended health care to ensure that "all eligible residents of Canada have reasonable access to insured health services on a prepaid basis, with no direct fees at checkout. point of service for such services” (Health Canada, 2013, para. 4) and always evolves according to the needs of Canadians. This health insurance plan is commonly called Medicare and covers medically necessary hospital and physician services on a prepaid basis. In the United States, Medicare refers to a government health program offered to people aged 65 or older, to people under 65 with certain disabilities. , and people of all ages with end-stage renal disease (permanent kidney failure requiring dialysis or kidney transplantation). This program is not completely free since premiums and copayments may apply to different types of coverage (US Department of Health and Human Services, Center for Medicare and Medicaid, 2013). The majority of funding for the Canadian health program comes from the responsibility of each province/territory and comes from general taxes (Shi and Singh, 2001). THE