Correct that's what people do - so our much vaunted "egalitarian" healthcare system means in practice that only those wealthy enough to go to a neighboring coun

Correct that's what people do - so our much vaunted "egalitarian" healthcare system means in practice that only those wealthy enough to go to a neighboring country and pay for healthcare out of pocket (because we don't have employer insurance for that) are able to get good healthcare, and none of the money stays in the country.