17,500 Canadians Can’t Be Wrong

Since Barack Obama was inaugurated President just over seven months ago, some 17,500 Canadian have come to the U.S. to receive health care.  Just since the President’s health care legislation was introduced in the House of Representatives in March, about 12,500 Canadians have come here for health care.  During that same period, how many Americans have travelled north to obtain health care in Canada because they couldn’t get it here in the States?  

The average wait time for a Canadian to obtain treatment from a specialist after seeing a primary care physician?  About 4-1/2 months.  In the U.S.?  Virtually none.

Want to see a primary care doctor in the U.S.?  Pick up the phone and call one.  In Canada, get in line behind the five percent of the population waiting to get a primary care physician (about 17 million Canadians).

And still there are those in Washington extolling the benefit of a government-controlled, single-payor heath care system .  .  .  like they have in Canada.

284 comments Add your comment

Gandhi

August 28th, 2009
6:52 am

Millions of Americans can’t get, or afford proper care, Bob. What’s your point?

Gandhi

August 28th, 2009
6:56 am

DeborahinAthens

August 28th, 2009
6:56 am

How about getting some real statistics! Of all of the industrialized nations, the US ranks 37th in healthcare (cost, treatment outcome, longevity, infant mortality, etc) while Great Britain ranks 17th. I don’t know the ranking for Canada, but I have never met anyone from Canada, Great Britain, or France that has ever had anything bad to say about their healthcare system. In this country, there is no waiting time for a procedure. If Aetna, Cigna, et.al. doesn’t want you to have it. If they won’t cover it, and , if you can’t afford it, it simply does not get done. I love hearing the “free market capitalists” rant about letting the market take care of the costs. Believe me, if the government deregulates the insurance industry and lets insurance companies operate across state lines (the Republicans favorite healthcare reform plan), they will not lower premiums, they will raise them. Why? It is in their best interests to do so. Another nasty side effect will be that “unhealthy” states like Georgia will have very few options, while “healthy” states, like Colorado, will have plenty of coverage. We only have to look at the deregulation of the power companies and gas companies to see what the effects are. Remember Enron, anyone? Enron could not have even existed if that industry had not been deregulated. I am in a business that requires me to take 15 hours of continuing education to keep my insurance license. Last month, while studying the material, I had to laugh! The subject was ethics, and it was discussing why it was necessary to have so much government regulation of the insurance industry. Know what the answer was??? IT WAS BECAUSE THE FREE MARKET WOULD NOT ENSURE THAT INSURANCE COMPANIES WOULD DO WHAT WAS RIGHT FOR THE INSURED! Even the industry itself knows that greed and striving for profit will make the insured very low on the list of priorities. If you retire or are laid off and you have diabetes or Parkinson’s disease, after COBRA terminates, you will NOT be able to get any healthcare insurance, period. While you are throwing out “statistics” let’s try another one. As recently as a decade ago, about .12 of every dollar of premium was a profit for healthcare insurers. With technology and better tracking of individuals, today about .22 of every dollar of premium is profit. Know why? With today’s sophisticated technology, the insurance company has exquisite ability to ferret out the high-risk client and terminate their coverage. And if any of you believe that they don’t do that, just wait. Your time will come.

Michael H. Smith

August 28th, 2009
6:58 am

The average wait time for a Canadian to obtain treatment from a specialist after seeing a primary care physician? About 4-1/2 months. In the U.S.? Virtually none.

If ObumerCare a.k.a. the Public government run no-Option healthcare becomes the law Americans, especially seniors, may have worse fears than a long wait if-when specialists are forced to stop practicing medicine.

Cardiologists Crying Foul Over Medicare Cuts Hurt Obama Revamp

http://www.bloomberg.com/apps/news?pid=20601103&sid=aRqnpw9ZInJ4

Karl Marx

August 28th, 2009
7:26 am

Dear, DeborahinAthens How about you stop with the liberal talking points and get some real statics like talking with some of the people from Canada, Great Brit, etc. I work with many people from Canada and Europe. They tell me we do not want this plan and have repeated many horror stories about their government run health care system. Our system needs reform but the Democrats plan is not it.

Ian

August 28th, 2009
7:27 am

Thanks for pointing this out, Bob. I spent the first 20 years of my life in the Canadian system. Thankfully I was very healthy and only had to use the system for emergency care on a very small number of occasions.

I urge people to learn about the Castonguay Report.

Canadians have always had access to third-party, private care at their expense. That tier is called “The United States”. When it’s flat out illegal to get the care you want and can afford from a private provider (or be that private provider), the only thing you can do is go to one of the few places in the world where you are allowed to do that. Fortunately the vast majority of the Canadian population lives within a day trip of the U.S.

Bill Johnson

August 28th, 2009
7:30 am

Well, Gahndi, why don’t you break down those millions into: those who are able but choose not to, those that are illegally in the country, etc – then tell me how many needy people can’t get care when they need it. Much smaller number, that. And if you think government medicine is so great – go the F**K elsewhere to get it. I DON”T WANT IT!!!!!

Bankrupt my country to give shoddy, inept care – did you even see the BBC’s stories about NHS? Do you research anything for yourself? Do you think, or just emote?

It would be really nice to give everybody on the planet a new Rolls-Royce, too, but we don’t have the money. Sometimes, you just don’t have the money. Especially to give to the one proven most wasteful entity in the country.

No Thanks.

Wheat Williams

August 28th, 2009
7:35 am

No, Bob, not like they have in Canada, where private healthcare and private insurance are illegal.

What the President is proposing is a system like they have in England, France and Germany, where private healthcare and private insurance, for those who can afford it, exist side-by-side with a government-run insurance and healthcare program that people with lesser means pay for as an alternative.

Ken

August 28th, 2009
7:37 am

Millions of Americans can’t buy a house. So, Gandhi, should the government provide a house to these people… most of whom are chronically unemployed or unemployable, have bad habits with money, etc? When I was younger, I did not have any health insurance. When I needed a doctor, I went to one and paid in cash… and generally kept myself in good health. Now that I am older, 49, married with kids and RESPONSIBLE, I have the insurance I need to get proper care. I work for a living so I can afford the insurance. Most Americans who demand free insurance also want free food stamps, and other welfare…. and these people REFUSE to be productive. Why waste health care on these people who just want to mooch off the system. Come on Gandhi, think it through.

Laura

August 28th, 2009
7:39 am

I lived in Canada for 35 years and the United States for 17. Every relative I have but 2 lives in Canada. They all love their healthcare, including my aging parents. The only complaints I hear about the Canadian healthcare system come from Americans who have never used it. I would love the United States to adopt a plan similar to the Canadian one. Canada spends about 10% of their GDP on healthcare vs 16% in the U.S. – if Canada spent that kind of money on healthcare the problems with waits etc would be eliminated. Tommy Douglas, founder of Medicare in Canada was voted the greatest Canadian several years ago. As Mr. Barr says – so many Canadians can’t be wrong.

Michael

August 28th, 2009
7:42 am

Don’t drink, don’t smoke, and don’t get in fights. That’s about all the health insurance you need.

Frank

August 28th, 2009
7:46 am

Wheat, when has our government ever had any success in running a business? never. It cannot exist side by side because private companies will not have the deep pockets and printing press which Washington uses to fund government run companies. it alters free market, period. When you taint the system in such a way it creates imbalances which eventually tilt in the governments favor, hence no longer competitive. See competition to Amtrak or the Post Office? Not really. One because its against the law and two, it wouldn’t be viable for a private company to enter that market. What makes you think healthcare is different?

When the feds took over the Mustang Ranch in Nevada…it went bankrupt! If you can’t make money selling whiskey and a$$, you’ve got no business running a business

Ramjet

August 28th, 2009
7:47 am

People who have insurance do not understand all of the complications of obtaining insurance and keeping it when your self-employed or your employer does not provide it. They just assume people who do not have it want a freebie. That may be the case with some but for most of us we are willing to pay for it however, when you are not on a group policy insurance companies extremely raise their rates if you make a claim making it unaffordable so you will not have insurance in catastropic situations. My mother got cancer and when our policy came up for renewal they raised the rate to $9,500 per month. Therefore, they may as well of cancelled us.

jj

August 28th, 2009
7:48 am

Two words that set off a red flag on this article, and make it suspect – BOB BARR (whose photo make him look like he’s hosting a theatre show on PBS ;> ). How many American’s have died during this same period, because they can’t afford, lost or can’t get coverage? NO country has a perfect system. While we may fear the Gov, how can you fear the Insurance industry sharks any less???
And where was your indignation during the previous 8 years? When we were yanked down into this black hole we find our country in? You were upset, weren’t you?

Krista

August 28th, 2009
7:50 am

Mr. Barr has a troubling grasp on math, particularly decimals. Canada has a population of 33,592,686, five per cent of which is actually 1.7 million. As a Canadian, I’ll gladly keep my universal health care, where I will always receive care at any hospital I walk in to. My insurance will never be cancelled arbitrarily, and I’ll never go bankrupt trying to pay medical bills. This debate has been completely maligned by special interests, particularly those who make billions of dollars a year off of millions of sick Americans. Bon courage…

Former Oregonian

August 28th, 2009
7:52 am

The article in The Oregonian was very informative but completely failed to discuss the financial end of other countries medical provider systems. France’ system is completely in the red, as is Germany’s. The Danish and Czech health care systems, which are excellent, are also experiencing extreme financial difficulties. With all the rhetoric around health insurance, wouldn’t it be refreshing if the four largest insurers (Blue Cross, UnitedhealthCare, Cigna, and Aetna) acted like insurance companies and had a coast-to-coast “pool” to mitigate high claims. Affordable healthcare is completely attainable but the three components: insurers, medical facilities, and pharmaceutical companies need to stop the shell game.

Brett

August 28th, 2009
7:54 am

“During that same period, how many Americans have travelled north to obtain health care in Canada because they couldn’t get it here in the States?”

More specifically, how many Americans have traveled north to obtain medical marijuana in Canada? I reckon seventeen-five is a low estimate.

George Bush

August 28th, 2009
7:57 am

nothing wrong with a little competition people…quit your whining and stop making this a upper middle and working class issue..plenty of people who have means and work get into situations where the big insurers screw them because of pre existing or major medical conditions..so stop making it a class issue ..it needs to be available ..if it was not needed it would not be on the table. Heck i wish i had thought of it during my administration

W

canadian MD

August 28th, 2009
7:57 am

As a Canadian, and a doctor, it is always amuses me to see uninformed and ideologically cramped opinions like those touted by Mr. Barr. ( for starters, 5% of the Canadian population is not 17 million people)

True, there are waiting lists to see a specialist like me. Of course, if a family physician calls me and explains that he or she is worried about their patient, I will see them without delay. (as I am doing so for two patients today). Medical need determines this, not the patient’s insurance/finacial status.

And I do see non-Canadians (Yes, Mr Barr, even Americans) though I do so with some reluctance because their insurance companies typically engage in hesitant and partial and grudging re-imbursement. For a Canadian citizen, I bill a government agency and am reimbursed within two weeks for the full amount 98% of the time. (Telling this to an American MD often causes their jaw to drop).

As with any system, there are problems with single-payer systems (and some solutions, like private MRI labs, have existed side by side with the single payer system) and physicians and patients have to work toward pressuring government to make it a better system. True, we don’t have a lot of what americans have, but this includes medical bankruptcies, a growing underclass of working uninsured, an abysmal infant mortality rate and a system where administrative costs are more than double those in Canada.

But don’t worry Mr. Barr, I can’t see meaningful reform coming to the US. There is simply too much money to be made, (money that could go towards healthcare of your citizens will instead be funnelled into profits). That’s fine. That’s your country’s choice. But I can’t imagine having the same debate about your military that you are having abouut healthcare, suggesting taking control away from government and letting the free market run things (hello Blackwater), letting big corporations make the little decisions that will maximize profit off your soldiers. Most americans would see the harm in that, would say that the military is too important to let that happen, that it symbolizes something vital about America and that America’s security is not worth the tradeoff for a few (trillion) dollars of petential profit.

Well, most Canadians feel the same way about healthcare. Respect that.

Now excuse me, I have to get to work.

Dean

August 28th, 2009
7:58 am

Both health care systems are about to get a massive ’stress test’ with H1N1 creeping over us day by day – http://thintheherd.info/index.php?board=2.0
One thing they are not considering is that all US doctors would agree to keep working. The ones I have spoken with said they would quit if the rules changed this much. Many I have met have side businesses they can put all their time into.

jesuschristsuperstar

August 28th, 2009
7:59 am

What is the source of the statistics that support your claim of “virtually” no wait time to see a specialist here in the US? I have personally had to wait weeks and months to see specialists after visiting a primary care doctor. So provide the actual statistics and I’ll figure out what I’m doing wrong, or stop making stuff up.

hryder

August 28th, 2009
8:02 am

Survival of the fittest. Follow the terms of a health insurance policy and you will remain insured and treated with specified financial obligations paid by the insurer. Do not adhere to the terms of the policy and you have problems. One of the proposals floated nationally was cost effectiveness based on the individuals age in order to receive the most effective procedure. Too old, you receive a less effective treatment and die earlier then medically necessary. Unless, of course, you are Ted Kenneddy.

Michael Smith

August 28th, 2009
8:03 am

DeborahinAthens wrote:

Believe me, if the government deregulates the insurance industry and lets insurance companies operate across state lines (the Republicans favorite healthcare reform plan), they will not lower premiums, they will raise them. Why? It is in their best interests to do so.

Utter nonsense. Companies in a free market can’t raise their prices arbitrarily. If they do, their competitors will take away their business. This is why Delta Airlines doesn’t solve all of its financial problems by just tripling the prices of its flights — this is why General Motors couldn’t return to profitability by just deciding to charge double for a Chevrolet automobile — this is why the prices in relatively unregulated markets, like, for instance, consumer electronics, continue to FALL.

The notion that government regulation is necessary to keep businesses from raising their prices at will is pure insanity — it’s refuted by things you see with your own eyes, every day. Good lord, if there are no competition-imposed limits to prices — absent government regulation — why isn’t gasoline $100 per gallon?

And as far as insurance companies refusing to cover pre-existing conditions, it is their absolute right to do so — just like it is your absolute right to seek better coverage elsewhere if you don’t like the terms and conditions they are offering.

But what you want is the ability to avoid the expenses of having a disease like diabetes and Parkinson’s by having everyone else forced to pay higher insurance premiums to cover YOUR costs — essentially, you are in favor of the legalized looting of others to pay your doctor bills. Nothing on earth justifies the notion that any one person is entitled to have their doctor bills paid by confiscating the fruits of another man’s labor.

She also wrote:

We only have to look at the deregulation of the power companies and gas companies to see what the effects are. Remember Enron, anyone? Enron could not have even existed if that industry had not been deregulated.

More nonsense! In the first place, the “power and gas companies” were never “deregulated’. Their prices are still set by state governments and they are still protected from competition by state laws. In the second place, the Enron fraud was based largely on its use of “mark-to-market” accounting principles, which were specifically approved by the government regulators at the Securities and Exchange Commission. So far from preventing the Enron fraud, the government regulators gave it the go ahead.

You’ve been duped and brainwashed into regurgitating leftist talking points on cue. You’ve allowed yourself to become a mindless little “useful idiot” for looters of the left.

Stuart

August 28th, 2009
8:09 am

Yeah, that’s right, Ken. Everybody that wants a public policy doesn’t wanna work, just wants food stamps, and is irresponsible with money. Well, let me explain something to you, Ken, and I’ll try not to use big words. I have worked since I was 13 years old, and have supported myself since 18. I have always paid taxes, and always had insurance. Then, at the age of 46, I was laid off (you know, like all the lazy auto workers, steel workers, construction workers, etc, etc. have been) and paid about $700 a month for Cobra. That’s right, I paid that while I was still trying to pay my other bills with what money I had saved. After the Cobra ran out, I was dropped from my insurance company, the one I’d been with for 10 years, because I had type 2 diabetes. Forget the fact I run, eat right, don’t smoke, work out regularly. And I got the same rejection pretty much across the board. Right now, if I had a major illness or accident, I can pretty much kiss my house and what little is left of my IRA goodbye. And there’s my mom, who works for a company that hires a lot of people for just under 32 hours a week so they don’t have to pay benefits. Until Medicare kicked in…you know, that Nazi/Socialist/Communist health plan that I’m sure none of your relatives take advantage of, her insurance cost her more than her rent. My mom, who worked full-time when my sister and I were growing up, did so from 1963 until 2004. And for what it’s worth, I know a lot of people from Canada, and in Europe, none of whom have any complaints about their healthcare, nor can they understand why we have to pay for it. But I’m sure nobody in Canada or Europe, nor anybody that thinks healthcare should be affordable, or available to people who need it, works as hard or knows as much as you.

Red

August 28th, 2009
8:10 am

What a lot of people fail to realize is that public option will become public mandated by the government. Obama has even said that he wants the public option to eventually replace all private health insurance. With the way it is currently written I will not have a choice when I change jobs. I either take something similar to what I have now by choosing from a list of government approved insurance providers or go on the public option, even if my new job offers better coverage. Health insurance is not a right, the only rights we have were in the Bill of Rights and health insurance was not in it!

Greg

August 28th, 2009
8:13 am

My personal experience is that Canadians that I know personally tell me they prefer their system to the US system. Some of the earlier posts reinforce my belief in the American legal system where we do not allow hearsay evidence. My advice is to seek out the opinions of our neighbors to the north rather than American’s interpretations.
By the way quite a few Americans are already going to India, Panama, Costa Rica for affordable medical procedures.

kitty

August 28th, 2009
8:16 am

michaelsmith, you are obviously healthy and have never had your insurance rates raised so you can’t afford them. Look at the post above where the mother in law got cancer and her rate went up to 9500 per month. A free market only works when you can decide not to buy the product. When you have cancer if you do that you die. Health and free market do not work together as well as your little dream world thinks.

When you get cancer and can’t work and have no health insurance get back to me…of course, that will be when your retirement money is completely gone and you are in Stage 4. Cheers.

Homer

August 28th, 2009
8:17 am

Because the few can’t get affordable healthcare the many have to suffer? This is crazy like the Democratic proposal. Healthcare needs overhaul not rebuilding like the government option. As one doctor said, where are we going to get the new doctors for the additional 50 million which is actually around 14 million which 20% can buy insurance but choose not too.

jj

August 28th, 2009
8:18 am

It is not uncommon at all to wait a month to see a specialist. I have insurance, and last week was told a problem I have ‘may be cancer’. When is my next appt? October 12! 6 weeks of waiting – and wondering. Maybe Bob can walk in and be seen, but not normal people. Why do you think they tell you to make an appt for your next physical a year early? Because it takes a long time to get one later, when the doc is trying to fit in more urgent patients.
Universal health care will save money. Like dental checkups, which insurers like you to have, regular checkups save huge sums of money down the road, and keep people out of the pricey ER.
Thank you ‘Ca MD’, for the real info. There is so much rumors and distortions shouted about, you would almost think this is about getting the ‘party of NO’ back in power in 2010, rather than proper health care. Mob hysteria rules once again…

bobo

August 28th, 2009
8:18 am

Enter your comments here

Les Miles

August 28th, 2009
8:19 am

Really Bob? 17,500? Not exactly a representative sample is it? Personally I have never met a Canadian that would trade their health care for ours. Ever.

Thomas

August 28th, 2009
8:19 am

I go to my Dr. and he requests me to get tests for normal physical exam, I should be able to choose where I want the tests administered and which merchant I want to support. But my Insurance Company says that if you do not use our listed Labs, which are miles away from my preference, we will only pay 20% of the bill. So now I have no choice but to travel many miles for testing that could have been done within walking distance from the Drs. office. Makes me wonder who is on whose side? This is the USA where Insurance companies have become the outlaws.

don'tcare

August 28th, 2009
8:19 am

The only Americans who can’t get health care are already dead.

Murray County Indian

August 28th, 2009
8:21 am

Liberals made it rain out my football practice yesterday and they broke into my house and clogged my toilet! Stupid liberals!

MomOf2Girls

August 28th, 2009
8:21 am

I recently housed 2 young women from Canada in my home for a weekend. One of them had a gymnastics accident almost 18 months ago and dislocated her kneecap tore some ligaments. She is still waiting for surgery. She was given a date that was originally 12 months post injury, but the surgery has been rescheduled 4 times so far. She is now being told it will be next summer. She and her parents have looked into having the surgery here in the U.S., but they are unable to afford it without assistance, so she’s stuck trying to get around her college campus for another year with a bum leg.

Hillbilly Deluxe

August 28th, 2009
8:21 am

some 17,500 Canadian have come to the U.S. to receive health care

What about the other 33+ million Canadians? Granted I don’t know that many Canadians but the ones I do know don’t seem to have a problem with their system. They usually ask me, “How can the richest country in the world have such a mess?”

As for choice, those who have insurance through their employers actually have very little choice. The company makes it for you.

Michael

August 28th, 2009
8:21 am

Again with the myth of doctors leaving practice if this happens, or if tort reform doesn’t happen. Believe me, those in medical school want them to quit rather than hanging on until they are 70 yrs old.

Hillbilly Deluxe

August 28th, 2009
8:22 am

*seem to have no problem…I need an editor I think.

GTMike

August 28th, 2009
8:25 am

Hmmm, Medicare…bankrupt. Social Security…bankrupt. Deficit projections without single payer health care plans…9 trillion dollars. Economy…..stinks. Spending by governments in the US on non-defense programs? Under JFK…19% of GDP. Under Obama, 39% of GDP. That’s 20% of our annual GDP taken out of the private sector where it grows jobs and fuels future employment, diverted to primarily welfare type programs of one kind or another.

We may be the richest country in the world, but that doesn’t mean that we can’t bankrupt it as surely as the individual who continuously overspends their income. Socialists have NO idea how the economy grows long term, they care only about ‘gimme, gimme, gimme’ and be damned if our children or our children’s children no longer have the economic base that we were blessed with.

Barr’s basic facts about Canadians coming to this country (rather than vice versa) remains true and unrefuted by any of your arguments. They come primarily for what the Canadian health care system defines as “elective’ procedures.

Who is John Galt?

Les Miles

August 28th, 2009
8:25 am

And jj is spot on. My wife had a biopsy for possible breast cancer almost 2 months ago and has yet to get the result. We wait NOW. It’s time to cut the BS surrounding this issue. Insurance company beauracrats are making life and death decisions for people everyday because of their bottom line. Want the plug pulled on “grandma”. Then keep trusting the present system. How many times has a doctor told families their is nothing else he can do after the insurance murderers tell him their is no more money to keep “grandma” alive. The ignorance and pure naivete of the opposition to HC reform is appalling.

Cayce

August 28th, 2009
8:27 am

Sorry. This is bogus. I lived in Canada for 2 years and they scoffed at the very idea of an American style health care system. The only thing they came to America for was voluntary surgery, things like plastic surgery. The wait for basic care is actually no longer than it is here (when was the last time you tried to get an appointment with a new primary care physician?).

Talk to some Canadians before you make these kinds of statements. I never met a single one who would change their system for ours.

Trey

August 28th, 2009
8:31 am

I am not a Republican or Democrat, and I do not support Government funded health care. We need as little Government in our life as possible, becuase remember Government funded programs fail, look at public education, social security and welfare. Even if you can’t afford health care, a hospital can’t deny you treatment if you are sick and also there are places like Grady.

Trey

August 28th, 2009
8:33 am

Les Miles, they contact you if something is wrong but if nothing is wrong then there is no need.

Trey

August 28th, 2009
8:34 am

Also, look at Government funded neighborhoods called projects they are a complete failure.

bob

August 28th, 2009
8:38 am

Deborah in athens, If you want to quote an arm of the United Nations, The world Health Organization, please post the guidelines they use to determine the rankings.

Trey

August 28th, 2009
8:40 am

“True democracy is nothing more than mob rule, when 51% of the population takes away the rights of the other 49%” Thomas Jefferson

This is true and we should vote whether or not for health care and if 51% of the population wants public health care, then why not try it? I don’t like the idea but if 51% wants it then that is democracy and that is what the Founding Fathers would want.

bob

August 28th, 2009
8:40 am

Cayce, were you in Canada when the Supreme court ruled to allow private clinics to open ? These clinics were not for boob jobs and the gov fought their opening because they did not want competition. I think it was 05.

In the Know

August 28th, 2009
8:40 am

Liberalism is a disease – there are several that have posted this morning on this blog that have a terminal case of it. Tis sad, but we need to rid the world of liberalism – anyone that is a liberal is a loser anyway and won’t be missed. We should ship all the liberals in the world to the South Pole. Man, that would be just terrific if we could make that happen.

Trey

August 28th, 2009
8:41 am

Just keep Government funded abortions out of the Public heath care. If someone wants an abortion then that should be from their own pocket.

Greg

August 28th, 2009
8:42 am

Thankfully the government does do a good job is some areas. National security and our military forces are the strongest of any civilization, A large part of our public lands including our national parks and most of the states of Alaska and Nevada have been important investments by our country. We also have a great transportation system. Well maybe not in Atlanta!