Canadians traveling to SF Bay Area for eye surgery... enjoy speaking with them... we don't get a lot but we do have them.
The wait and options are the most cited reason... none have been quality of care...
It's similar for my friends in Germany and Austria... some of the universal healthcare is truly amazing for the unborn, young and productive years... not quite the same for aged... several of my Doctor friends marveled at our medicare system and things like hip replacement in your 80's and where we had handicapped facilities and parking decades before they did...
The secret is there are always work arounds... my Austrian friends often travel to Germany for Dental Care as cash patients... and my German friends do the same to Austria...
The rules only apply to citizens in their country... a Doctor cannot accept cash for treatment from a citizen but not restricted on non-citizens... plus the options are varied...
The Doctor and Nurses I know in both countries say that a lot of innovation comes from America... or at least it did...
It's just different as Austrian women receive a direct payment bonus for being a good mom... the payment is made upon completion of all well baby visits and vaccines... and not a small amount of money and it is solely hers and strictly enforced... some might say a bribe.
Back to eyes... we must have a good program when we have Doctors and Hospital CEO's as patients...
The technology is amazing... most opt for laser assisted but I would always want a Doc that can step up...
In tens of thousands of cases there was one time the laser stopped midway... I was part of the team...
While the nurse and tech started freaking out... I simply said to the Doctor... you will finish in the Operating Room which he did... perfect outcome but shows machines aren't perfect 100% of the time...
We still have Docs that don't use laser assist and proud of it and are Laser certified...
With most routine procedures the level of skill only kicks in when there is a problem... rare as that might be...
Maybe why fighter pilots make some of the best airline pilots in bad situations... been there and seen it all before?