Wond'rin' Aloud

Question the First: If the USA has the best health care system in the world, why are American insurance companies shipping American patients to India to have surgery?

Question the Second: If it is ethical, good, right and safe to ship patients outside the USA for medical treatment (where they presumably get foreign drugs and medications), why is it unethical, bad, wrong and unsafe to get my Lipitor from Canada?

Richard the Third: What good is a health care system that no-one can afford to use?