Congressional Democrats will soon put forward their legislative proposals for reforming health care. Should they succeed, tens of millions of Americans will potentially be joining a new public insurance program and the federal government will increasingly be involved in treatment decisions. Not long ago, I would have applauded this type of government expansion. Born and raised in Canada, I once believed that government health care is compassionate and equitable. It is neither. My views changed in medical school. Yes, everyone in Canada is covered by a “single payer” — the government. But Canadians wait for practically any procedure or diagnostic test or specialist consultation in the public system.