That's a very interesting point, Jack. I think you're right about "the feeling of entitlement and the need to feel in control" that is motivating certain individuals among the wealthy. I've seen rich people who had that grandiose feeling of entitlement...I've seen others who didn't see themselves as any different from other people.

As for your suggestion about Canada adopting a two tiered system of medical care with one tier that caters to the rich...yeah, sounds like not a bad idea to me. That way if they wanted to feel like Penelope Rutledge or Henry Kissinger (so to speak) and they are willing to pay for it, then they can have their own special clinics and special conditions...at a price. Heck, with some people, the higher the price, the better they like it. It makes them feel "special".

If it was a slick enough system, then it would draw the medical tourism dollar from all over the world, just as you say....and that is what happens with certain prestigious medical clinics in the USA.