The purpose of this project was to inform health policy debates by determining how American émigrés to Canada view the Canadian health care system. The study was delimited to include only Americans who had experienced both the Canadian and the American health care systems as adults. It intended to provide important information on the relative strengths and weaknesses of the two systems, create an opportunity to inform and influence both systems, and thereby impact Canadian health care policy about priorities, resource allocation and the organization of care. The Americans targeted in this study represented a highly educated population, with an above average income – a sample population which while unrepresentative of Americans generally, reflected Canadian immigration policy. The study tested the hypothesis that Americans would find the American system superior to the Canadian system, on the basis that the sample group likely experienced the best of the American system when they lived in that country. Findings that rejected the hypothesis were seen to constitute an implicit, unexpected and significant endorsement of the Canadian system.