> A lot of the most talented move to the US for higher pay ... I've noticed we don't get the 'best'
That doesn't match my experience. Several of my classmates who went to major Canadian medical schools also had offers from "top" US schools but stayed in Canada because the quality of education is good and they didn't want to pay $300k+ for their degree. Maybe there's certain top specialists that can only be found at Hopkins or Mayo in the US, but that's not where most Americans are going (even within the 1%).
The doctors I've seen in Canada are equally competent to the American ones in my experience (at "good" but not "world-class" clinics), but I will concede that the American ones take more time with their patients and seem more aggressive with testing and treatment.
That doesn't match my experience. Several of my classmates who went to major Canadian medical schools also had offers from "top" US schools but stayed in Canada because the quality of education is good and they didn't want to pay $300k+ for their degree. Maybe there's certain top specialists that can only be found at Hopkins or Mayo in the US, but that's not where most Americans are going (even within the 1%).
The doctors I've seen in Canada are equally competent to the American ones in my experience (at "good" but not "world-class" clinics), but I will concede that the American ones take more time with their patients and seem more aggressive with testing and treatment.