The real question is: Why is Canada's health care system worse than many developed countries other than the US? Compared to the US, we look great; compared to the OECD average, not so much. Canada's per capita health care costs are higher than many OECD countries. Compared to countries that provide universal health care, we fall behind on many indicators of heath care quality.
Instead of worrying about the mess in the US, we should be solidly focused on looking east and west for ideas about how to improve health care. In an ideal world of continuous excellence, we would be having a public discourse (in newspaper articles, phone-in shows, debates with friends, the legislature) about all the ways we can improve. Sure, Harper is not interested in improving health care - he wants it to fail so he can privatize it - but health care is provincial, and our provincial governments are in many cases more enlightened than our current federal government.