[danudey]

> The real mystery to me is why Canada has any software engineers at all.

For all kinds of political and social reasons, I would never move to the US. Key examples:

- The disaster that is the US health care system - Even more endemic systemic racism than Canada has - Even left-wing politicians are to the right of what I prefer in Canada

All that, plus I'm not in this for the money. I make a comfortable living and live in a gorgeous city, and there aren't any cities in the US I would want to live in.

I'm happy in Canada. I'd probably also be happy in Europe or even Asia, but I can't picture being happy in the US.

[patrickg_zill]

Having grown up in Canada, I would say that Canadians are in general, a nice bunch to be around; and that in itself is a benefit of living in Canada.

[jonny_eh]

Context: I'm a Canadian engineer in California.

> The disaster that is the US health care system

Doesn't affect engineers in the US. It's actually the opposite. If you can afford a good insurance plan, the health care services are way better than in Canada. No problem finding a GP, and you never have to wait for an appointment.

> Even more endemic systemic racism than Canada has

If you're white, come to the US to make the situation better. If you're a visible minority, this is a good point. But it really does depend on where you live in the US.

> Even left-wing politicians are to the right of what I prefer in Canada

Not in California. Keep in mind that states have much more power in the US than provinces do in Canada.

In the end, there's more to life than money. For me, I live here due to the superior weather and wider range of opportunities to work on cool stuff.

Living far away from family and friends is a big downside. Nationalism plays no part for me.

[robotresearcher]

>> The disaster that is the US health care system

> Doesn't affect engineers in the US.

It affects engineers who care about people other than themselves.

It also affects engineers who get sick. And engineers who have a baby born with a medical issue and can't get coverage because the complex birth cost $0.5M.

And engineers who can't change job or start a business because they have an existing condition and can't get new insurance.

So, yes, for engineers who stay lucky and don't care about their neighbors, it's not a problem.

[edit: Don't get me wrong, I love lots of things about the US, but the healthcare system is insane.]

[alexasmyths]

As far as 'endemic racism' - this is again totally unfair.

The US is by far and away not racist.

I lived in the US for many years and never saw someone ever - ever - do or say anything racist, either directly or through ignorance.

I'm not saying the US doesn't have problems - I'm saying that in every day life, issues are 'systematic' not remotely 'hateful'. Also - the US has a massive population of ex-slaves, and very poor people from Latin America. 'Racism' might be somewhat of an issue for example in the Asian community, but not remotely in the same sense that it is for African Americans. Canada has lots of E. European and Asian immigrants, and very few people of African or Central/South American descent, and os the issues are just softer. Canadians attitude is a reflection of their situation.

America has many flaws, and racism is one of them - but it's not some kind of cesspool.

[megablast]

I you are white, this is such a strange comment to make.

[alexasmyths]

America is one of the least racist places on planet earth.

Even less racist than almost all of Europe, even the 'fairly progressive' Scandinavian countries - who have 'laws and policies' which are very progressive - but who's culture is so deep, and so fixed, it's really quite difficult for anyone who is not 'Swedish' to actually integrate and participate.

A 'foreigner' has considerably more hope of success in America than in Sweden. Admittedly, a 'foreigner' might have a better hope of a 'decent life' in Sweden, though.

Almost everywhere else in the world is openly and unabashedly racist ... there is only some awareness in situations where there is a peculiar awareness, i.e. 'Euro' vs. 'Metzo' American class issues in South America.

[whitef0x]

S(he) may be white or may well not me. Best not to assume things about strangers online.

[robotresearcher]

> The real mystery to me is why Canada has any software engineers at all.

Some software engineers care about maternity leave, universal health care, and the welfare of their fellows that don't have software engineer salaries.

[specialist]

I also disagree with the term 'disaster'. That implies accidental, unanticipated, or maybe even just oops.

If you were to expand it to 'disaster capitalism', profiting (exploiting) the misfortune of others while intentionally making things worse, then I'd be in agreement.

A hurricane is a disaster. The US healthcare racket is a deliberate snafu.

[alexasmyths]

The US health-care system is not a 'disaster'.

This is a bit of Canadian propaganda and mythology.

I lived in the US (and Canada) and the US has the best healthcare in the world bar none - for those who are covered.

The 'flaws' which are deep - is that it doesn't cover everyone, if you don't have coverage, you are totally screwed, and it's obscenely expensive.

For a 20-30 something 'STEM' it's actually much better. Doctors will actually listen to you, you don't wait for stuff, it all just seems magically better than Canada.

Again - I'm not ignoring the deep systematic problems with the US system - rather taking a more nuanced view.

I think the US system could be more socialized (and cheaper) than it is, but for 'those with good jobs' ... it doesn't matter.

And when I say 'propaganda' - I'm serious. I believed all this CBC-promoted stuff until I lived abroad for many years, then one looks back on one's youth and thinks about all the things we were told that were 'given as truth' but really are not :).

Anyhow, it's complicated obviously.

[specialist]

"...rather taking a more nuanced view."

Aka concern trolling.

[alexasmyths]

No, not trolling, providing some perspective to someone who has, it seems, not lived within the American system and has some views that have been promoted by certain Canadian elements which are borderline bigoted.

The 'Canadian view on the street' of the 'American system' is misinformed, and it's largely due to a certain consensus promoted within the Canadian elite. It's a very highly politicized issue.

As another Canadian ex-pat pointed out below (and as so many Canadians living in the US can attest to) - the 'Canadian consensus view' on the American system is not correct.

FYI - Canada is the only country in the world wherein it's legal to pay a mechanic to fix your tire, but it's illegal to pay someone to fix your broken arm.

I personally had to live through this conundrum. The 'official position' in Ontario is to move people away from doctors - and to push them into clinics where they can't get 'long term' type of care.

I was sick - and there were no doctors in my region taking patients. I was forced to go to a clinic where they couldn't properly diagnose me. They didn't care at all, as the are 99% dealing with 'kids with colds and the flu'. Every time I went I saw a new doctor. I was ill, with weird symptoms, the doctors 'didn't give a s*' - and there was nothing I could do about it within the system.

I finally went to the 'Cleveland Clinic' - an American not-for-profit entity operating in a 'grey legal area' in Toronto, and they helped out. Thankfully, nothing serious - but it could have been.

I have family members in Canada who waited years for hip and knee replacements - and they think this is 'normal'.

Most Canadians who have no exposure to 'other' systems have a limited view of their own system vis-a-vis others.

I wouldn't want 'the American system' for Canada, and it's far from perfect, but it has some merits which are often overlooked by the CBC-centric types.

[cpncrunch]

I prefer looking at the evidence rather than getting my facts from CBC or other news titbits. And the evidence clearly shows that overall the Canadian system is better. It's not perfect, and sometimes you have to wait for non-critical procedures, but overall we receive good care. Whereas in the USA there is still a large percentage of people who have no healthcare at all, or who go broke paying for it.

[specialist]

I'm glad you got the care you needed.

Cleveland Clinic (in Ohio) is a superior organization. World class. They were one of our early adopter customers (when I was doing electronic medical records exchanges).

Your story of having a rare (hard, difficult to diagnose) disease and not getting the care you need is the norm. This has happened to me many times.

I suspect (Atul Gawanda style) the root cause is care providers are basically organic expert systems doing triage. They are taught to do their best and then move on. Do the maximum good with limited resources.

Your fix was to find the care you needed. Do not accept No for an answer. Someone somewhere has the answers you need. You did the right thing.

--

One of my besties got a terminal diagnosis, second opinion, third opinion. Decided he was too young to die, so he started looking at available clinical trials. Luckily, he exactly matched a trial for immunotherapy for his specific disease. He then found a superior doctor willing to support, manage his treatment goals, plans.

Another one of my besties has advanced Lyme Disease. It's terrible. He moved across country to be near the 2nd best specialist, to better manage his care. He regularly goes to NYC to see the #1 specialist. Further, he is now something like an angel funder for early stage research. He has actually benefitted from these early results.

My own story is similar. I had aplastic anemia. I've had numerous experimental treatments, first for the anemia and then for the subsequent side effects (GVHD). I'm a living miracle of modern technology. I have so many war stories (both good and bad), it's boring.

--

Here's the thing. You, me, my two friends are not the norm. We're the outliers. Changing the payment system, insurance, whatever does not fix this problem.

Perhaps teaching doctors to escalate is the solution. Perhaps connecting similar patients, by matching symptoms. Perhaps data mining. Apple's healthcare initiatives will certainly help (eg matching patients with trials). I keep asking everyone I meet for their ideas.

Lastly, back to the point, Canadians spend less on healthcare, are healthier, and live longer than USA people. The Canadian system is superior. Simple statement of fact.

[hacking_again]

Canadians eat less, smoke less, and are exposed to less sunlight. Lifestyle is important for health and longevity.

[whitef0x]

I agree with this. My girlfriend has unfortunately had to deal with racist name calling as an Asian (I can't imagine what it must be like for those that are even more targeted by the alt-right) in San Francisco, a "liberal" city in the eyes of Americans.

[dogruck]

Yes, but the top, hard driving, talent would make the trade and move to the US. Your prerogative is to kick back and chill up north. I'm not hatin -- just pointing out that you're not really a counter example to the point at hand.

[fraqed]

Maybe that's why Canadians are considered so nice, because all the "hard driving" types have left the country and gone, mostly, to the US.

[dogruck]

A reasonable theory. Agreed.

[brailsafe]

What a desperately condescending thing to say. Really it comes down to a matter of perspective on life and your definition of "hard-driving". If your definition of that is writing code for more money, then fine. Other people work a hell of a lot harder, in much worse conditions, for a lot less, and choose to do it in a place where they like to live and the people they enjoy being around. Pretty compelling to me.

[cpncrunch]

It's basically people who want to work at places like google and earn $250k.

Still, there is a lot of "top talent" who chooses not to go that route. Working on my own stuff I get to work on much more interesting and challenging stuff -- as well as making a larger personal contribution to "changing the world" in a small way -- than I would likely achieve if I was working as a software engineer at google. I don't earn as much, but my quality of life is much better.

[yahna]

Canada isn't innocent on the racism part, we just do it to First Nations instead.