France and Canadas health care system are a joke,we have a medical system that is second to none so I would rather deal with the coruption then deal with a waiting list for an emergency.Plus I dont want a second rate system that works like the DMV.I also dont want a second rate doctor taking care of delicate surgery or to have to leave the country to get treatment for special case problems.I agree our system could use improvement but not a new system.We need public exposure of books and records,and also removal of the corupt.We need to have less federal control and more local control,that way when you vote its closer to home and it could not hurt to have more geographical representation,like your cascadia.More local control would remove special intrests enough to remove allot of coruption.