As Americans argue about whether or not their healthcare system should contain a public option or become a single payer system, the discussion in Canada revolves around whether there should be more private sector involvement in healthcare. To most Canadians, the majority of whom are on the left or center left of the political spectrum any talk of the public sector running any part of the healthcare system is sacrilegious. For these Canadians, their country is defined not by what it is but by what it isn’t – it isn’t the United States. And nothing distinguishes Canada from the US in the way that healthcare is delivered.