Might depend where you live. Here in Quebec, I know someone who could either get his cancer cured in 2+ years here (which would have been too late, but technically free or almost free), or instantly in the US but for 200k, so he raised money and got it cured in the US.
Could be that this isn’t the same in other parts of Canada, but at least in Quebec, this kind of story is very common. At a smaller scale, one would pay to go to the private sector here instead.