No, actually, I am originally from NY. One company I worked for in the US was from Ottawa, Canada. I had discussions about salary versus tax rates between the US and Canada. The Canadian employees were paying significantly more than I was at the same income level. It was thousands of dollars more. Not to mention adding the Canadian VAT into the picture. I do recall they loved talking about the universal health care system, however in the US health care has not yet been deemed a "right". Now that I live in Cabarete, I was happy to see CMC come into existence and even changed insurance plans so that my family had one accepted there. Health care is not a "right" in the DR either unlike Canada.