I agree. I live in Niagara Falls, N.Y. now. I still work in Ontario and pay taxes in Ontario. 

When we lived in Ontario, my wife saw an endocrinologist in NFNY. I was happy to pay the US$65 for the visit. Her doctor spent all the time that was necessary with my wife. She (the doctor) put my wife on a superior course of treatment for her diabetes.

And the doctor was happy to take our cash. She even gave us a 1/3 discount because she didn't have to deal with the insurance hassles. She often refers to "Doctor Obama."