From the CMAJ:

Although there is no guarantee that Canadians who have the surgeries performed out of country will be reimbursed by provincial health insurance plans, that is not a major obstacle for MedSolution’s clients, says Knox.

“Waiting lists are so out of control in this country, many patients are willing to pay anything to obtain swift access to the services they need,” he says. “It’s our job to help them find a hospital in a country that suits their personal preferences and their budget.” . . .

. . . “I wasn’t even wait-listed” in Canada, says Thurairajan. “I had to beg the surgeons [here] to give me an x-ray and an MRI.”

(via Notes from Dr. RW)