I've been to multiple Canadian ERs (2 times total) and multiple US ERs (2 times total). The only difference has been that 1 time the Canadian ER was busier and

I've been to multiple Canadian ERs (2 times total) and multiple US ERs (2 times total). The only difference has been that 1 time the Canadian ER was busier and I waited my turn (based on an initial triage). I feel, during my visit, I was appropriately handled in all 4 locations. After leaving the hospital in Canada I was done. However in the US, both times a few weeks later I got a bill for roughly $1000, and it actively makes me think twice about going to the ER (even though I can afford the $1000). In the US, I may have skipped the ER the second time if I hadn't felt strongly I was having an appendicitis. Truly scary to think I considered not going based on a bit of money. If it wasn't clear, even being well off in the US, I prefer the overall experience in Canada.