that makes Canada so competitive.

That's why using American workers costs more for companies, and why American workers will never be competitive as long as we don't have a public option/Medicare for All that cuts out the insurance companies sucking us dry. But we'll be lucky if we still have any Medicare at all after Trump is done.

than they have ever been.

Most of our excessive litigation and insurance costs are from everyone having to insure against liability. These frictions don't exist in most of the world. Even health care costs themselves are hiked by malpractice insurance. Our automobile insurance. Any homeowner, renters or business liability insurance all get hiked by this. And all the administrative friction of health care approvals, that alone would cover everyone if all health care was provided with the low overhead of medicare. Medicare it self has some overhead with administration that would decrease by just paying for every effective treatment. And big medicine and big pharma don't want all the health outcomes in one tidy list where cost effectiveness would be easy to determine. This all started from racist Dixiecrats not wanting to cover minorities and then the wealthy wanting people trapped by employer health coverage. This evil start has bogged our country down and created a huge paper wealth that is a house of cards of manipulated financial books and exploitive interactions. And what is especially crazy is every professional estimate is that we would even save money during the initial transition year.